Active NPI
Jennifer Lynn Cummings, CP
- Family Psychologist
- Mishawaka, IN
National Provider Identifier
1093774630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 20041170
- Practice address
- 230 E Day Rd Ste 160
Mishawaka, IN 46545-3463 - Phone
- (574) 271-8222
- Fax
- (574) 271-8896
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 20041170 | IN | Primary |
Addresses
Primary practice location
230 E Day Rd Ste 160
Mishawaka, IN 46545-3463
Mailing address
230 E Day Rd
#160
Mishawaka, IN 46545-3463
Phone (574) 271-8222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000382360 | Other | IN | BCBS PROVIDER NUMBER |
| 100091430A | Medicaid | IN |
Other names 1
- Dr. Jenninfer Smith Cummings
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 15, 2016 through Jul 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1093774630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E DAY RD",
"address_2": "#160",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453463",
"telephone_number": "574-271-8222",
"fax_number": "574-271-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E DAY RD STE 160",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453463",
"telephone_number": "574-271-8222",
"fax_number": "574-271-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "IN",
"license": "20041170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000000382360",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100091430A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNINFER",
"last_name": "CUMMINGS",
"middle_name": "SMITH",
"prefix": "DR.",
"credential": "PHD HSPP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.