Individual provider Active NPI

Summer C Alonso, RN, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Conshohocken, PA
National Provider Identifier
1023580644
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021567 Issued in PA
Practice address
10 E 6TH Ave Ste 200
Conshohocken, PA 19428-1784
Phone
(610) 567-0088
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN604866 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000209 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NJCATEMP-032239 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP021567 PA Primary

Addresses

Primary practice location

10 E 6TH Ave Ste 200
Conshohocken, PA 19428-1784

Mailing address

16 W Pennsbury Way
Chadds Ford, PA 19317-9307
Phone (610) 724-7559

Other practice location 1

Creative Health
11 Robinson Street
Pottstown, PA 19464
Phone (849) 410-5004

Other practice location 2

81 Warwick Tpke
Hewitt, NJ 07421-2816
Phone (973) 506-6645

Other identifiers 2

IdentifierTypeStateIssuer
815011376OtherNJTAX ID- ALPHA COUNSELING SERVICES
1285266643OtherGROUP NPI-ALPHA COUNSELING SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013003093 PA Practitioner - Nurse Practitioner 5496153959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN604866PAMDPsychiatric/Mental Health Registered Nurse
L8-0000209DEMDPsychiatric/Mental Health Nurse Practitioner
NJCATEMP-032239NJMDPsychiatric/Mental Health Nurse Practitioner
SP021567PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Frost Medical Group LLC PastSince Mar 29, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1023580644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W PENNSBURY WAY",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179307",
            "telephone_number": "610-724-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 6TH AVE STE 200",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281784",
            "telephone_number": "610-567-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Creative Health",
            "address_2": "11 Robinson Street",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "19464",
            "country_code": "US",
            "telephone_number": "849-410-5004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Warwick Tpke",
            "address_purpose": "LOCATION",
            "city": "Hewitt",
            "state": "NJ",
            "postal_code": "074212816",
            "country_code": "US",
            "telephone_number": "973-506-6645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "SUMMER",
        "middle_name": "C",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN604866",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000209",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "NJCATEMP-032239",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID- ALPHA COUNSELING SERVICES",
            "identifier": "815011376",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI-ALPHA COUNSELING SERVICES",
            "identifier": "1285266643",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

Verify at the official NPI Registry.