MS. KELLY SUMMERS LADC NPI 1912217480

NPI Information

  • NPI: 1912217480
  • Provider Name: MS. KELLY SUMMERS, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 950 COUNTY HIGHWAY 10
    108
    SPRING LAKE PARK, MN
    ZIP 55432
  • Phone: (763) 355-5092

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NPI Details

MS. Kelly Summers, LADC is an addiction (substance use disorder) counselor in Spring Lake Park, MN. MS. Kelly Summers, LADC NPI is 1912217480. 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:

950 COUNTY HIGHWAY 10
108
SPRING LAKE PARK, MN
ZIP 55432-253
Phone: (763) 355-5092

The enumeration date for this NPI number is 10/18/2010 and was last updated on 10/18/2010.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)302446MINNESOTAYes

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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