Active NPI
Michelle Summers
- Mental Health Counselor
- Webster, NY
National Provider Identifier
1013589118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009944-01
- Practice address
- 805 Ridge Rd
Webster, NY 14580-2410 - Phone
- (585) 484-0630
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 009944-01 | NY | Primary |
Addresses
Primary practice location
805 Ridge Rd
Webster, NY 14580-2410
Mailing address
2344 Anderson Rd
Linwood, NY 14486-9713
Phone (865) 323-6006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009944-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1013589118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2344 ANDERSON RD",
"city": "LINWOOD",
"state": "NY",
"postal_code": "144869713",
"telephone_number": "865-323-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 RIDGE RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145802410",
"telephone_number": "585-484-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "009944-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.