Nicole Danielle Summers-Dubois, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1814 Issued in MA

Practice address

28 Caspian Way
Fitchburg, MA 01420-8931

Phone

(978) 273-0051

NPI assigned

Mar 1, 2022

Last updated

Mar 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Making Opportunity Count, Inc.Group PAC ID 6608881354, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Law

State licenses

Practice roles

Locations

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.

• Making Opportunity Count, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fitchburg, MA
  • NPI 1922210830
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1063168839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CASPIAN WAY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208931",
            "telephone_number": "978-273-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CASPIAN WAY",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208931",
            "telephone_number": "978-273-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS-DUBOIS",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart S. Fay, M.D., P.C.
• Nicole Marie Sturgis, NP
• Barbara G. Sullivan, NP
• Iris Sullivan, MD
• Susan Sullivan
• Super Dental of Fitchburg PLLC
• Rhonda Marie Surette, NP
• Hector Ivan Surillo
• Sarah Marie Survell
• Richard George Suval, D.M.D

• Marriage & Family Therapist in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.