Jill Diane Summers, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3355 Issued in TN

Practice address

820 N Thompson LN Ste 1D
Murfreesboro, TN 37129-4340

Phone

(615) 499-5453

NPI assigned

Jan 22, 2018

Sex

Female

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

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1093223240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 STONEWOOD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N THOMPSON LN STE 1D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294340",
            "telephone_number": "615-499-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JILL",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3355",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Sullivan, PTA
• Kim Summar
• Summer Medical Transportation
• Bryan M Summerford, PHARM D
• Paul Edward Summerhill, D.C.
• Timothy Kyle Summers, MD
• Deborah K. Summerskill, RN
• Carla Summey
• Sunnington Place
• Superior Health Solutions LLC

• Professional Counselor in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.