Betty Deberry-Sumner, LLC

Key facts

NPI

1114737244

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

BETTY DEBERRY-SUMNER, LLC

Practice address

10410 Kensington Pkwy Ste 203
Kensington, MD 20895-2947

Phone

(240) 506-4040

Fax

(240) 559-0921

NPI assigned

Jan 10, 2025

Organization subpart

No

Authorized official

Name

Dr. Betty J Deberry-Sumner, DDS, MS, LCPC NPI 1518518588

Title

Director/Owner

Phone

(240) 506-4040

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Betty Jean Deberry-Sumner Mental Health Counselor · Kensington, MD · NPI 1518518588
  NPD Authorized official MENTAL HEALTH

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2025.

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1114737244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY STE 203",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952947",
            "telephone_number": "240-506-4040",
            "fax_number": "240-559-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 KENSINGTON PKWY STE 203",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952947",
            "telephone_number": "240-506-4040",
            "fax_number": "240-559-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY DEBERRY-SUMNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "DEBERRY-SUMNER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "240-506-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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