MARY COLLETTE SUMMERS LBS NPI 1619593639

NPI Information

NPI: 1619593639
Provider Name: MARY COLLETTE SUMMERS, LBS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
781 FAR HILLS DR STE 600
NEW FREEDOM, PA
ZIP 17349
Phone: (717) 812-2560
Get Directions

Mary Collette Summers, LBS is a professional counselor in New Freedom, PA. Mary Collette Summers, LBS NPI is 1619593639. 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:

781 FAR HILLS DR STE 600
NEW FREEDOM, PA
ZIP 17349-404
Phone: (717) 812-2560
Fax: (717) 812-2569

The NPI 1619593639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 7/29/2021.

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
1	101Y00000X	Counselor		BH002981	PENNSYLVANIA	No
2	101YP2500X	Counselor	Professional	PC012855	PENNSYLVANIA	Yes

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
1	BH002981	OTHER	PENNSYLVANIA	LICENSED BEHAVIORAL SPECIALIST

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: 5/5/2024

NPI Synchronization or Removal

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