Organization Active NPI

Summit Counseling LLC

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1902391279
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4283 Issued in KS
Legal business name
SUMMIT COUNSELING LLC
Practice address
2029 Vanesta PL Ste 8
Manhattan, KS 66503-7400
Phone
(785) 477-0101
Fax
(785) 396-4399
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Adam Seth McCaffrey, LSCSWNPI 1780832030
Title
Therapist
Phone
(785) 477-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4283 KS Primary

Addresses

Primary practice location

2029 Vanesta PL Ste 8
Manhattan, KS 66503-7400

Mailing address

2029 Vanesta PL Ste 8
Manhattan, KS 66503-7400
Phone (785) 477-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180801001464 KS Part B Supplier - Clinic/Group Practice 1254689656 Receives reassigned benefits from 1 practitioner
Practice locations: Manhattan, KS

National Provider Directory

National Provider Directory

Locations

2029 Vanesta Pl
Ste 8
Manhattan, KS 66503
Phone (785) 477-0101

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1902391279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 VANESTA PL STE 8",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037400",
            "telephone_number": "785-477-0101",
            "fax_number": "785-396-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 VANESTA PL STE 8",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037400",
            "telephone_number": "785-477-0101",
            "fax_number": "785-396-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "MCCAFFREY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "785-477-0101",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.