Summer Prado, LPC, LADAC, ICADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2311011 Issued in AR

Practice address

115 E Shelton Ave
Monticello, AR 71655-4937

Phone

(501) 261-7715

NPI assigned

Dec 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holistic Recovery LLCGroup PAC ID 0143732198, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Holistic Recovery LLC

  • Mental Health Counselor
  • Monticello, AR
  • NPI 1538979018
  Medicare reassignment Care Compare group NPD Authorized official
• Friends of Freedom House Inc.

  • Mental Health Counselor
  • Russellville, AR
  • NPI 1316587850

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1972749133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E SHELTON AVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554937",
            "telephone_number": "501-261-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E SHELTON AVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554937",
            "telephone_number": "501-261-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "SUMMER",
        "name_prefix": "Ms.",
        "credential": "LPC, LADAC, ICADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2311011",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "419-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Phillips
• Kimberli Pigott, LPC
• Krystal Renee Pinkus, MCD, CCC-SLP
• Julie Rene Plant
• Judy Kay Poirrier, DVM
• James L. Price Jr., OD
• Melissa Pruitt
• Tanisha Rainey
• Donna Rainwater, COTA
• Cynthia Ramirez, QBHP

• Mental Health Counselor in Monticello, AR
• Providers in Monticello, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.