Patti Joleen Summers, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

COUI-10191 Issued in ID

Practice address

490 Park Ave Ste 4
Idaho Falls, ID 83402-1230

Phone

(208) 339-4356

Fax

(208) 612-5035

NPI assigned

May 22, 2025

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Willow Sage Services LLC

  • Counselor
  • Idaho Falls, ID
  • NPI 1538611652

  Professional

  NPD (past)

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1386437457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COLLEGE ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022235",
            "telephone_number": "208-339-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PARK AVE STE 4",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834021230",
            "telephone_number": "208-339-4356",
            "fax_number": "208-612-5035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 College St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834022235",
            "country_code": "US",
            "telephone_number": "208-339-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "PATTI",
        "middle_name": "JOLEEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "COUI-10191",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "COUI-10191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keaton Jake Suitter, LPC
• Rebecca T Sulik
• Sullivan Mental Health Services LLC
• Jessie Elaine Sullivan, LCPC,LMFT
• Joshua Summers, DO
• Summit Eyecare PLLC
• Summit Health Professionals
• Summit Orthopaedics Management and Consulting, LLC
• Summit Orthopaedics Management and Consulting, LLC
• Summus Counseling, LLC

• Professional Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.