Individual provider Active NPI

Chad Summers, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1891464236
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0017490 Issued in CO
Practice address
7025 Pear Leaf CT
Colorado Springs, CO 80927-4029
Phone
(719) 666-1785
NPI assigned
Sep 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0017490 CO Primary

Addresses

Primary practice location

7025 Pear Leaf CT
Colorado Springs, CO 80927-4029

Mailing address

7025 Pear Leaf CT
Colorado Springs, CO 80927-4029
Phone (719) 666-1785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227002706 CO Practitioner - Mental Health Counselor 0143670539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

6566 N Marksheffel Rd
Suite 100
Colorado Springs, CO 80923-4252
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0017490COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Feb 4, 2025 Accepting new patients
Family Care Center, LLC Professional CurrentSince Feb 4, 2025 Accepting new patients

Locations

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

1230 Tenderfoot Hill Rd
Ste 305
Colorado Springs, CO 80906
Phone (719) 203-2014

5475 Mark Dabling Blvd
Ste 100
Colorado Springs, CO 80918
Phone (719) 203-2014

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

Organizations & group practices 3

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1891464236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 PEAR LEAF CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809274029",
            "telephone_number": "719-666-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 PEAR LEAF CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809274029",
            "telephone_number": "719-666-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "CHAD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.