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SUMMIT BHC MESA LLC
NPI 1861025876
Clinic/Center - Rehabilitation, Substance Use Disorder in Mesa, AZ

Active since February 18, 2020CLIA 03D2025983 · Waiver
846 NORTH CENTER STREET SUITE 101, MESA, AZ 85201(480) 464-5764(480) 834-5372 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2020, Feb 18, 2020 (2 updates tracked since 2020).

About Summit Bhc Mesa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT BHC MESA LLC (NPI 1861025876) is a healthcare organization registered as a rehabilitation, substance use disorder in Mesa, Arizona and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Paul Gilbert, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1861025876
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSUMMIT BHC MESA LLC
Location Address846 NORTH CENTER STREET SUITE 101Mesa, AZ 85201
Mailing Address860 N Center StMesa, AZ 85201-4201 · (480) 464-5764 · Fax (480) 834-5372
Phone(480) 464-5764
Fax(480) 834-5372
Organization SubpartNo
Authorized OfficialPaul GilbertChief Legal Officer · (615) 716-4924
Enumeration DateFebruary 18, 2020
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1861025876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
846 NORTH CENTER STREET SUITE 101, Mesa, AZ 85201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2025983

Summit Bhc Mesa, LLC Dba Canyon Vista Recovery Center · Mesa, AZ
Active · expires Jun 21, 2027
CLIA Number03D2025983
Laboratory TypeDrug Treatment Facility
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorJon Lee
Laboratory Phone(480) 226-1714
Laboratory LocationSummit Bhc Mesa, LLC Dba Canyon Vista Recovery Center860 N Center St, Mesa, AZ 85201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Bhc Mesa LLC's NPI number?

The NPI number for Summit Bhc Mesa LLC is 1861025876. It was assigned to this organization in the NPPES registry on February 18, 2020.

Where is Summit Bhc Mesa LLC located?

Summit Bhc Mesa LLC is located at 846 North Center Street Suite 101, Mesa, AZ 85201. The listed phone number is (480) 464-5764.

What is Summit Bhc Mesa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Summit Bhc Mesa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2025983) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Bhc Mesa LLC accept?

Health plans from Ambetter from Arizona Complete Health list Summit Bhc Mesa LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Bhc Mesa LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.