NPIMap

Organization Active NPI

Summit Care and Wellness Treatment and Counseling, PC

Doing business as Summit Life Recovery

  • Substance Abuse Rehabilitation Facility
  • Hickman, NE
National Provider Identifier
1588048177
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SATC149 Issued in NE
Legal business name
SUMMIT CARE AND WELLNESS TREATMENT AND COUNSELING, PC
Doing business as
Summit Life Recovery
Practice address
9300 Wagon Train Rd
Hickman, NE 68372-9877
Phone
(402) 792-0097
Fax
(402) 792-0098
NPI assigned
Jul 14, 2015
Last updated
Jul 14, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT CARE AND WELLNESS TREATMENT AND COUNSELING, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nanette Gingery, LMHP, LPC, LADC, ACC
Title
President
Phone
(402) 435-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SATC149 NE Primary

Addresses

Primary practice location

9300 Wagon Train Rd
Hickman, NE 68372-9877

Mailing address

9300 Wagon Train Rd
Hickman, NE 68372-9877
Phone (402) 792-0097

Other identifiers 1

IdentifierTypeStateIssuer
1578691333OtherNENPI FOR OUTPATIENT PRACTICE LOCATION

Other names 1

  • Summit Life Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summit Care and Wellness Treatment and Counseling PC2 organizations share this tax ID, including this one
Part of
Summit Care and Wellness Treatment and Counseling PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1588048177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 WAGON TRAIN RD",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683729877",
            "telephone_number": "402-792-0097",
            "fax_number": "402-792-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 WAGON TRAIN RD",
            "city": "HICKMAN",
            "state": "NE",
            "postal_code": "683729877",
            "telephone_number": "402-792-0097",
            "fax_number": "402-792-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CARE AND WELLNESS TREATMENT AND COUNSELING, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE AND WELLNESS TREATMENT AND COUNSELING, PC",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "GINGERY",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-435-2273",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHP, LPC, LADC, ACC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "SATC149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR OUTPATIENT PRACTICE LOCATION",
            "identifier": "1578691333",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Life Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickman, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.