| Summit Counseling Inc | |
|
1500 14th St W Suite 290 Williston ND 58801-4076 | |
| (701) 334-6242 | |
| (701) 713-3299 |
| Full Name | Summit Counseling Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 14th St W, Williston, North Dakota |
| Authorized Official Name and Position | Brenda Lee Owen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7013346242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Counseling Inc 1500 14th St W Suite 290 Williston ND 58801-4076 Ph: (701) 334-6242 | Summit Counseling Inc 1500 14th St W Suite 290 Williston ND 58801-4076 Ph: (701) 334-6242 |
| NPI Number | 1427593698 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 03/15/2020 |
| Certification Date | 03/15/2020 |
| Medicare PECOS PAC ID | 1153603162 |
|---|---|
| Medicare Enrollment ID | O20170127001347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427593698 | NPI | - | NPPES |
| 1472475 | Medicaid | ND |
| Provider Name | Brenda L Owen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346542727 PECOS PAC ID: 6901020007 Enrollment ID: I20140611000975 |
| Provider Name | Jennie Cornell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437380763 PECOS PAC ID: 3173662046 Enrollment ID: I20150603001735 |
| Provider Name | Elizabeth Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710687546 PECOS PAC ID: 0749648350 Enrollment ID: I20230614000559 |
| Provider Name | Ariel L Roehrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306576038 PECOS PAC ID: 1254799653 Enrollment ID: I20230616000583 |
| Provider Name | Sara B Fries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093261968 PECOS PAC ID: 3678931599 Enrollment ID: I20230623002563 |
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Summit Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 14th St W Ste 290, Williston, ND 58801 Phone: 701-334-6242 Fax: 701-712-3299 |