Stephanie Summers LMFT, P.a.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2128 Issued in FL

Legal business name

STEPHANIE SUMMERS LMFT, P.A.

Practice address

12412 San Jose Blvd
Suite 102C
Jacksonville, FL 32223-8621

Phone

(904) 268-9178

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie Ann Summers, LMFT

Title

Officer

Phone

(904) 268-9178

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1164542270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD",
            "address_2": "SUITE 102C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238621",
            "telephone_number": "904-268-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD",
            "address_2": "SUITE 102C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238621",
            "telephone_number": "904-268-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE SUMMERS LMFT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "904-268-9178",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE NUMB",
            "identifier": "MT2128",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.