Johnathan Miles Sumpter, MBA, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

69523 Issued in TX

Practice address

2300 Valley View Lane
Irving, TX 76052

Phone

(682) 777-3988

NPI assigned

Feb 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Business Administration

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1053770396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 SEGRAM COURT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163330",
            "telephone_number": "806-463-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LANE",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "76052",
            "telephone_number": "682-777-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMPTER",
        "first_name": "JOHNATHAN",
        "middle_name": "MILES",
        "name_prefix": "Mr.",
        "credential": "MBA, MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "69523",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Annette Sullivan, OTR
• Devorah N Sultan, MS, CF-SLP
• Sumana Ketha, MD PA
• Kathy Lynne Summers, LCDC-I
• Summerville at Irving Associates, LP (Emeritus at Irving)
• Victoria Sumrall
• Voranart Kukai Sunakapakdee, D.C.
• Swaminathan Sundaresan, MD
• Ju Yun Sung
• Sunil Mathews, M.D., P.a.

• Counselor in Irving, TX
• Providers in Irving, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.