NPIMap

Organization Active NPI

Summit Counseling Services PC

  • Clinical Psychologist
  • South Bend, IN
National Provider Identifier
1619181757
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20010389A Issued in IN
Legal business name
SUMMIT COUNSELING SERVICES PC
Practice address
928 E Wayne St
Suite C
South Bend, IN 46617-3024
Phone
(574) 286-0030
Fax
(574) 234-1994
NPI assigned
May 9, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Nancy H Bryant, LCSWNPI 1629108121
Title
President - Owner
Phone
(574) 286-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20010389A IN Primary
Clinical Social Worker 1041C0700X 34004946A IN
Clinical Social Worker 1041C0700X 34004850A IN

Addresses

Primary practice location

928 E Wayne St
Suite C
South Bend, IN 46617-3024

Mailing address

53658 Mark Dr
Bristol, IN 46507-9710
Phone (574) 286-0030

Other identifiers 4

IdentifierTypeStateIssuer
000000485220OtherINANTHEM INDIV PROVIDER #
000000393533OtherINANTHEM INDIV PROVIDER #
000000373890OtherINANTHEM GROUP NUMBER
000000373892OtherINANTHEM INDIV PROVIDER #

National Provider Directory

National Provider Directory

Locations

928 E Wayne St
Ste C
South Bend, IN 46617
Phone (574) 286-0030

Practitioners & affiliated clinicians

Practitioners 2

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619181757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53658 MARK DR",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "465079710",
            "telephone_number": "574-286-0030",
            "fax_number": "574-234-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 E WAYNE ST",
            "address_2": "SUITE C",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173024",
            "telephone_number": "574-286-0030",
            "fax_number": "574-234-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT - OWNER",
        "authorized_official_telephone_number": "574-286-0030",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20010389A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004946A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004850A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIV PROVIDER #",
            "identifier": "000000485220",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIV PROVIDER #",
            "identifier": "000000393533",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER",
            "identifier": "000000373890",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIV PROVIDER #",
            "identifier": "000000373892",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.