Healthcare Provider Details

I. General information

NPI: 1609681949
Provider Name (Legal Business Name): SUMMIT COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 SUGARBERRY RD
NORTH PLATTE NE
69101-4735
US

IV. Provider business mailing address

3601 SUGARBERRY RD
NORTH PLATTE NE
69101-4735
US

V. Phone/Fax

Practice location:
  • Phone: 308-539-2358
  • Fax:
Mailing address:
  • Phone: 308-539-2358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA SMITH
Title or Position: OWNER
Credential: LIMHP
Phone: 308-539-2358