Individual provider Active NPI

Summer Breeze Allen, PHD, LPC

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1023648706
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
73721 Issued in TX
Practice address
1825 Fortview Rd Ste 112G
Austin, TX 78704-7658
Phone
(512) 222-3362
NPI assigned
Jan 22, 2020
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 73721 TX
Mental Health Counselor 101YM0800X 73721 TX Primary

Addresses

Primary practice location

1825 Fortview Rd Ste 112G
Austin, TX 78704-7658

Mailing address

1825 Fortview Rd Ste 112D
Austin, TX 78704-7656
Phone (512) 222-3362

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL summer@drsummerallen.com

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
73721TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Summer Allen PLLC Mental Health CurrentSince Dec 13, 2022 Accepting new patients

Locations

1825 Fortview Rd
Ste 112D
Austin, TX 78704
Phone (512) 222-3362

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1023648706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD STE 112D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047656",
            "telephone_number": "512-222-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD STE 112G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047658",
            "telephone_number": "512-222-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SUMMER",
        "middle_name": "BREEZE",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2022-12-07",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "73721",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "73721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "summer@drsummerallen.com",
            "affiliation": "N",
            "address_1": "1825 Fortview Rd Ste 112G",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787047658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.