Brett Sumner, M.A., APCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APCC10420 Issued in CA

Practice address

800 W Harris St Ste 33
Eureka, CA 95503-3929

Phone

(707) 296-7660

NPI assigned

Nov 17, 2021

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 21, 2026 through Feb 21, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Humboldt Neurohealth Therapeutic Services

  • Case Manager/Care Coordinator
  • Fortuna, CA
  • NPI 1033090774
  NPD
• Humboldt Neurohealth Therapeutic Services

  • Adult Mental Health Clinic/Center
  • Fortuna, CA
  • NPI 1710459292
  NPD

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1104583830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 RIDGEWAY ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010932",
            "telephone_number": "707-599-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W HARRIS ST STE 33",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955033929",
            "telephone_number": "707-296-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "BRETT",
        "credential": "M.A., APCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC10420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Wally Sudduth
• Edith Sullivan
• Jason Robert Sullivan, RN
• John James Sullivan, MD
• Scott Lamar Sullivan
• Kirsten Annamarie Sumner, ASW
• Jamie LH Sun, PA-C
• Mark Charles Sussman, LCSW
• Sherry Colleen Swart, RN
• Ronald Swartz, PH.D., LCSW

• Professional Counselor in Eureka, CA
• Providers in Eureka, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.