Healthcare Provider Details

I. General information

NPI: 1538070545
Provider Name (Legal Business Name): SUMMIT THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 GOODMAN ST UNIT 105
TIMNATH CO
80547-2393
US

IV. Provider business mailing address

5000 GOODMAN ST UNIT 105
TIMNATH CO
80547-2393
US

V. Phone/Fax

Practice location:
  • Phone: 970-900-6930
  • Fax: 970-499-0576
Mailing address:
  • Phone: 970-900-6930
  • Fax: 970-449-0576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ELIZABETH HOGAN
Title or Position: OWNER
Credential: M.S CCC-SLP
Phone: 970-900-6930