MS. MARY ANN SUMMERLIN LPCA NPI 1487062824

NPI Information

  • NPI: 1487062824
  • Provider Name: MS. MARY ANN SUMMERLIN, LPCA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 201 NEW BRIDGE ST
    SUITE 105
    JACKSONVILLE, NC
    ZIP 28540
  • Phone: (910) 336-4958

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NPI Details

MS. Mary Ann Summerlin, LPCA is a mental health counselor in Jacksonville, NC. MS. Mary Ann Summerlin, LPCA NPI is 1487062824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 NEW BRIDGE ST
SUITE 105
JACKSONVILLE, NC
ZIP 28540-736
Phone: (910) 336-4958
Fax: (910) 333-9742

The enumeration date for this NPI number is 7/29/2014 and was last updated on 2/1/2017.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS - 21026NORTH CAROLINANo
2101YM0800XCounselorMental Health11015NORTH CAROLINAYes

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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