Organization Active NPI

Summit Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Waynesville, NC
National Provider Identifier
1831276898
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUMMIT COUNSELING SERVICES, LLC
Practice address
1207 East St
Waynesville, NC 28786-3438
Phone
(828) 456-6120
Fax
(828) 456-6164
NPI assigned
Nov 1, 2006
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
Carl D Losacco, MSW
Title
Chief Exceutive Officer
Phone
(828) 456-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1207 East St
Waynesville, NC 28786-3438

Mailing address

1207 East St
Waynesville, NC 28786-3438
Phone (828) 456-6120

Other identifiers 2

IdentifierTypeStateIssuer
6005598MedicaidNC
017TMOtherNCBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831276898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 EAST ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863438",
            "telephone_number": "828-456-6120",
            "fax_number": "828-456-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 EAST ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863438",
            "telephone_number": "828-456-6120",
            "fax_number": "828-456-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOSACCO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXCEUTIVE OFFICER",
        "authorized_official_telephone_number": "828-456-6120",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005598",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "017TM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

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.