Healthcare Provider Details

I. General information

NPI: 1386525426
Provider Name (Legal Business Name): HALASI SUMMY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12424 BIG TIMBER DR UNIT 3
CONIFER CO
80433-6410
US

IV. Provider business mailing address

10853 US HIGHWAY 285 STE A
CONIFER CO
80433-7760
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-0122
  • Fax: 720-759-3523
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1001165-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: