Kimberly L Sumner-Mayer, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000242-01 Issued in NY

Practice address

25 Avenue D # 29
New York, NY 10009-6935

Phone

(646) 395-4381

NPI assigned

Feb 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1366207128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FAIRVIEW AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901245",
            "telephone_number": "845-729-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 AVENUE D # 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096935",
            "telephone_number": "646-395-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER-MAYER",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000242-01",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidre Summers, 092131
• Janet E Summers, LCSW
• Johari Imara Summerville
• Summit Pharmacy LLC
• Summus Global, Inc.
• Ebony Sumner-Reed
• Dyana Katherine Sumner, NP
• Leslee Sumner, LCSW
• James Francis Sumowski, PH.D.
• Lisa A Sumption, DAOM, L.AC.

• Marriage & Family Therapist in New York, NY
• Providers in New York, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.