Active NPI
Residential Care at the Summit, LLC
- Community/Behavioral Health Agency
- Fort Worth, TX
National Provider Identifier
1891547626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RESIDENTIAL CARE AT THE SUMMIT, LLC
- Practice address
- 2501 E Seminary Dr
Fort Worth, TX 76119-5602 - Phone
- (817) 882-6200
- NPI assigned
- Apr 4, 2024
- Last updated
- Feb 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Nolen
- Title
- Business Manager
- Phone
- (682) 472-2869
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Case Management Agency | 251B00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2501 E Seminary Dr
Fort Worth, TX 76119-5602
Mailing address
PO Box 15836
Fort Worth, TX 76119-0836
Phone (817) 882-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 389729 | Other | CARF |
National Provider Directory
National Provider DirectoryLocations
2501 E Seminary Dr
Fort Worth, TX 76119
Phone (817) 882-6200
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.
-
- Mental Health Counselor
- Southlake, TX
- NPI 1922728070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1891547626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15836",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761190836",
"telephone_number": "817-882-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 E SEMINARY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761195602",
"telephone_number": "817-882-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESIDENTIAL CARE AT THE SUMMIT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-04",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "NOLEN",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "682-472-2869"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARF",
"identifier": "389729",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.