Active NPI
James Jason Summers
- Counseling Psychologist
- Lynnwood, WA
National Provider Identifier
1295244499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LH60914024
- Practice address
- 20006 Cedar Valley Rd BLDG a
Lynnwood, WA 98036-6334 - Phone
- (206) 949-9127
- NPI assigned
- Sep 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LH60914024 | Primary | |
| Counseling Psychologist | 103TC1900X | MC60584631 | WA |
Addresses
Primary practice location
20006 Cedar Valley Rd BLDG a
Lynnwood, WA 98036-6334
Mailing address
7010 20TH Ave NE
Seattle, WA 98115-5708
Phone (206) 949-9127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 2, 2024 through Apr 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC60584631 | WA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1295244499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 20TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155708",
"telephone_number": "206-949-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20006 CEDAR VALLEY RD BLDG A",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366334",
"telephone_number": "206-949-9127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "JAMES",
"middle_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-20",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": "LH60914024",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "MC60584631",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.