Organization Active NPI

Summit Counseling Services, P.C.

  • Professional Counselor
  • Flagstaff, AZ
National Provider Identifier
1609077312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-2051 Issued in AZ
Legal business name
SUMMIT COUNSELING SERVICES, P.C.
Practice address
2677 E 7TH Ave Ste 4
Flagstaff, AZ 86004-3739
Phone
(928) 522-8161
Fax
(928) 522-8161
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Konrad Kaserer, LPC
Title
President
Phone
(928) 522-8161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC-2051 AZ Primary

Addresses

Primary practice location

2677 E 7TH Ave Ste 4
Flagstaff, AZ 86004-3739

Mailing address

2677 E 7TH Ave Ste 4
Flagstaff, AZ 86004-3739
Phone (928) 522-8161

National Provider Directory

National Provider Directory

Locations

2677 E 7th Ave
Ste 4
Flagstaff, AZ 86004
Phone (928) 522-8161

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609077312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 E 7TH AVE STE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043739",
            "telephone_number": "928-522-8161",
            "fax_number": "928-522-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 E 7TH AVE STE 4",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043739",
            "telephone_number": "928-522-8161",
            "fax_number": "928-522-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASERER",
        "authorized_official_first_name": "KONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-522-8161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-2051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.