SUMMIT CENTER FOR MENTAL HEALTH INC NPI 1548274863

NPI Information

NPI: 1548274863
Provider Name: SUMMIT CENTER FOR MENTAL HEALTH INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3033 W JEFFERSON ST
SUITE 107
JOLIET, IL
ZIP 60435
Phone: (815) 773-0772
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SUMMIT CENTER FOR MENTAL HEALTH INC is a professional counselor in Joliet, IL. SUMMIT CENTER FOR MENTAL HEALTH INC NPI is 1548274863. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3033 W JEFFERSON ST
SUITE 107
JOLIET, IL
ZIP 60435-261
Phone: (815) 773-0772
Fax: (815) 773-0771

The provider's authorized official is Kathleen Lynn Foley .
The authorized official title is Clinical Director and has the following contact phone number (815) 773-0772.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 2/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180.004989	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180.003022	ILLINOIS	No
3	101YP2500X	Counselor	Professional	180.005943	ILLINOIS	No
4	1041C0700X	Social Worker	Clinical	149.012985	ILLINOIS	No
5	1041C0700X	Social Worker	Clinical	149.011589	ILLINOIS	No
6	1041C0700X	Social Worker	Clinical	149.012120	ILLINOIS	No
7	1041C0700X	Social Worker	Clinical	149.010888	ILLINOIS	No
8	1041C0700X	Social Worker	Clinical	149.010594	ILLINOIS	No
9	1041C0700X	Social Worker	Clinical	149.007291	ILLINOIS	No
10	1041C0700X	Social Worker	Clinical	149.003711	ILLINOIS	No
11	1041C0700X	Social Worker	Clinical	149.010490	ILLINOIS	No
12	106H00000X	Marriage & Family Therapist		166.000735	ILLINOIS	No
13	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	036.126980	ILLINOIS	No
14	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	036.120303	ILLINOIS	No
15	101YP2500X	Counselor	Professional	180.004322	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213997	MEDICARE PIN	ILLINOIS
2	405800	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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