Individual provider Active NPI

Summer Lynn Vandy, LPCC, NCC

  • Professional Counselor
  • Corbin, KY
National Provider Identifier
1386044295
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
KY-1006 Issued in KY
Practice address
1 Trillium Way
Corbin, KY 40701-8727
Phone
(606) 523-8521
Fax
(606) 523-8742
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1006 KY
Professional Counselor 101YP2500X KY-1006 KY Primary

Addresses

Primary practice location

1 Trillium Way
Corbin, KY 40701-8727

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 253-4900

Other practice location 1

106 Oaktree Plz
London, KY 40741-8337
Phone (606) 682-2536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240119001865 KY Practitioner - Mental Health Counselor 6901258441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

602 Knox St
Barbourville, KY 40906-1304
Phone (606) 546-6027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1006KYMDMental Health Counselor
KY-1006KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
Baptist Health Medical Group Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
New Seasons, LLC Professional Past Accepting new patients

Locations

602 Knox St
Barbourville, KY 40906
Phone (606) 546-6027

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

96 Future Dr
Corbin, KY 40701

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 253-4900

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Interoperability endpoints

  • Direct secure messaging: slewis95651@bhkydirect.com

Organizations & group practices 4

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1386044295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018727",
            "telephone_number": "606-523-8521",
            "fax_number": "606-523-8742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Oaktree Plz",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407418337",
            "country_code": "US",
            "telephone_number": "606-682-2536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDY",
        "first_name": "SUMMER",
        "middle_name": "LYNN",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1006",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY-1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.