Individual provider Active NPI

Summer J Peterson, LCPC, LMFT

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1679939482
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2020 Grand Ave Ste 8
Billings, MT 59102-2615
Phone
(406) 425-4508
NPI assigned
Jan 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MT Primary

Addresses

Primary practice location

2020 Grand Ave Ste 8
Billings, MT 59102-2615

Mailing address

PO Box 21002
Billings, MT 59104-1002
Phone (406) 425-4508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 14, 2024 through May 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Sullivan, MSW, Inc. Current Accepting new patients
Agami Karma Therapy Mental Health CurrentSince Jan 7, 2024 Accepting new patients

Locations

2020 Grand Ave
Ste 8
Billings, MT 59102
Phone (406) 425-4508

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1679939482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21002",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591041002",
            "telephone_number": "406-425-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GRAND AVE STE 8",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022615",
            "telephone_number": "406-425-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SUMMER",
        "middle_name": "J",
        "credential": "LCPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.