Individual provider Active NPI

Stacey M Summers, MAAT, ATR

  • Art Therapist
  • Port Richey, FL
National Provider Identifier
1396611737
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
6630 Embassy Blvd Ste B
Port Richey, FL 34668-4898
Phone
(813) 997-6103
NPI assigned
Oct 14, 2025
Last updated
Oct 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU
Art Therapist 221700000X NU Primary

Addresses

Primary practice location

6630 Embassy Blvd Ste B
Port Richey, FL 34668-4898

Mailing address

6630 Embassy Blvd Ste B
Port Richey, FL 34668-4898

Other practice location 1

5310 8th St
Zephyrhills, FL 33542-4309
Phone (813) 997-6103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Words Art Studio, Inc. Art Therapist CurrentSince Feb 23, 2025 Accepting new patients

Locations

6630 Embassy Blvd
Ste B
Port Richey, FL 34668
Phone (813) 997-6103

5310 8th St
Zephyrhills, FL 33542
Phone (813) 997-6103

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1396611737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 EMBASSY BLVD STE B",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 EMBASSY BLVD STE B",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684898",
            "telephone_number": "813-997-6103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 8th St",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335424309",
            "country_code": "US",
            "telephone_number": "813-997-6103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "MAAT, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.