Ivan Kent Sumner, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1487 Issued in OR

Practice address

1524 Willamette St
Suite 101
Eugene, OR 97401-4093

Phone

(541) 515-2009

Fax

(541) 342-5545

NPI assigned

Oct 10, 2006

Last updated

Dec 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ivan.sumner.p1@direct.lanecounty.nextgenshare.com
• Direct secure messaging: ivan.sumner.p2@direct.lanecounty.nextgenshare.com

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1356439970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 WILLAMETTE ST",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014093",
            "telephone_number": "541-515-2009",
            "fax_number": "541-342-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 WILLAMETTE ST",
            "address_2": "SUITE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014093",
            "telephone_number": "541-515-2009",
            "fax_number": "541-342-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "IVAN",
        "middle_name": "KENT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "1487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Sulzer, LMT
• Keith D Sumey, MD
• Kimberly Anne Summerhays, LPC, QMHP
• Myranda Chantel Summers
• Candace Sumner
• Xiaoning Sun
• Julia N. E. Sunkomat, M.D.
• Sunny Mae Saul LLC
• Sunrise Healing Center
• Brian R. W. Sunset, M.A., C.P.T.

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.