IVAN KENT SUMNER LCSW NPI 1356439970

NPI Information

  • NPI: 1356439970
  • Provider Name: IVAN KENT SUMNER, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1524 WILLAMETTE ST
    SUITE 101
    EUGENE, OR
    ZIP 97401
  • Phone: (541) 515-2009

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NPI Details

Ivan Kent Sumner, LCSW is a mental health counselor in Eugene, OR. Ivan Kent Sumner, LCSW NPI is 1356439970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1524 WILLAMETTE ST
SUITE 101
EUGENE, OR
ZIP 97401-093
Phone: (541) 515-2009
Fax: (541) 342-5545

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health1487OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000TLDBNMEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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