Individual provider Active NPI

Andrea Beth Summer, L.C.P.C.

  • Mental Health Counselor
  • Saco, ME
National Provider Identifier
1285777904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC1175 Issued in ME
Practice address
9 Beach St
Saco, ME 04072-2801
Phone
(207) 251-3877
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC1175 ME Primary

Addresses

Primary practice location

9 Beach St
Saco, ME 04072-2801

Mailing address

8 Westwoods Rd
Kennebunk, ME 04043-6274
Phone (207) 251-3877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926003493 ME Practitioner - Mental Health Counselor 2163953464 Practice locations: Kennebunk, ME

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

62 Portland Rd
Suite 6
Kennebunk, ME 04043-6650
Phone (207) 251-3877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jody Jansen LCSW LLC Past Accepting new patients
Nannette Nero Zuke, LMFT, LLC PastSince Jan 1, 2024 Accepting new patients
Sweetser Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285777904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WESTWOODS RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436274",
            "telephone_number": "207-251-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BEACH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722801",
            "telephone_number": "207-251-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMER",
        "first_name": "ANDREA",
        "middle_name": "BETH",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.