Organization
SUMMIT THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ALVIN SIMONS-BRACKEN DSW, LCSW (OWNER/OPERATOR)
(816) 400-3697
Entity
Organization
Contact information
Practice address
8900 STATE LINE RD STE 414, LEAWOOD, KS 66206-1960
(816) 400-3697
Mailing address
8900 STATE LINE RD STE 414, LEAWOOD, KS 66206-1960
(816) 500-6436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
111N00000X
Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/22/2018
Last updated
04/09/2026
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