Summit Behavior Services

Primary specialty

CounselorTaxonomy code 101Y00000X

License

7089681-3501 Issued in UT

Legal business name

SUMMIT BEHAVIOR SERVICES

Practice address

598 Sugar Leo Cir
St George, UT 84790-7451

Phone

(702) 480-6054

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Andersen

Title

Owner

Phone

(702) 340-1183

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1891172094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 SUGAR LEO CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 SUGAR LEO CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907451",
            "telephone_number": "702-480-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-340-1183"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "7089681-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Sullivan, APRN- FNP-BC
• Rhett William Sullivan
• Taylor Sullivan, MSW
• Jenna T. Summerhays, FNP-C
• Trevor Summerhays, RN
• Summit Chiropractic LLC
• Summit Foot and Ankle Clinic, Inc.
• Summit Rehabilitation LLC
• Charles Sumpter, PA-C
• Stacy Lynn Sumpter, DNP-C

• Counselor in St George, UT
• Providers in St George, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.