Gwendolyn Renee Summers, M.ED., LGPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP11181 Issued in MD

Practice address

65 Old Solomons Island Rd Ste 104
Annapolis, MD 21401-3842

Phone

(443) 218-8628

NPI assigned

Aug 27, 2021

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gwendolyn Renee Spencer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1366119208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W CROSS ST APT 369",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303672",
            "telephone_number": "443-986-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 OLD SOLOMONS ISLAND RD STE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013842",
            "telephone_number": "443-218-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "GWENDOLYN",
        "middle_name": "RENEE",
        "credential": "M.ED., LGPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP11181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "SPENCER",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Marie Sullivan, LMSW
• Lynn Sullivan, P.T.
• Ryan Shaun Sullivan, OD
• Susan Kathleen Sullivan, M.ED.
• Suzanne E. Sullivan, MD
• Leanne Summers, M.D.
• Summit Ambulatory Surgical Center, LLC (Annapolis ASC)
• Sundance Services Corp
• Sunray ABA MD LLC (Sunray ABA)
• Sunrise Day Services LLC

• Professional Counselor in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.