Summit Clinical Services LLC
NPI 1417605551ActiveOrganization· Counselor, Mental Health· Manitowoc, WI
Counselor, Mental Health in Manitowoc, Wisconsin, registered in NPPES in March 2022. The authorized official on file is Rebecca A. Richards, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417605551 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2022 |
| Last updated in NPPES | Jul 14, 2024 |
| Certified by provider | Jul 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor | 101Y00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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