Summit Sunrise Counseling LLC
NPI 1629820543ActiveOrganization· Social Worker, Clinical· Eagle River, AK
Social Worker, Clinical in Eagle River, Alaska, registered in NPPES in April 2024. The authorized official on file is Jordann M. Reynolds, LCSW, Owner/Counselor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629820543 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2024 |
| Last updated in NPPES | Jul 30, 2024 |
| Certified by provider | Jul 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 (AK) |
|---|
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