NPIMap

Organization Active NPI

Summit Therapy LLC

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1760367569
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUMMIT THERAPY LLC
Practice address
3768 Gray Fox Dr
Clarksville, TN 37040-6236
Phone
(907) 978-1943
NPI assigned
Aug 11, 2025
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Carrie L Miniard, LCSWNPI 1285239087
Title
Owner
Phone
(907) 978-1943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3768 Gray Fox Dr
Clarksville, TN 37040-6236

Mailing address

700 Sleater Kinney Rd SE Ste B189
Lacey, WA 98503-1150
Phone (907) 978-1943

National Provider Directory

National Provider Directory
Tax ID family
Summit Therapy LLC3 organizations share this tax ID, including this one
Part of
Summit Therapy LLC

Other organizations with this tax ID 2

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": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1760367569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SLEATER KINNEY RD SE STE B189",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031150",
            "telephone_number": "907-978-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 GRAY FOX DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406236",
            "telephone_number": "907-978-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT THERAPY LLC",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-09",
        "status": "A",
        "authorized_official_last_name": "MINIARD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-978-1943",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

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