Individual provider Active NPI

Summer Washington

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1407418569
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223543 Issued in MI
Practice address
950 W Monroe St
Jackson, MI 49202-2079
Phone
(517) 945-5632
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 6401223543 MI Primary

Addresses

Primary practice location

950 W Monroe St
Jackson, MI 49202-2079

Mailing address

950 W Monroe St
Jackson, MI 49202-2079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240612000102 MI Practitioner - Mental Health Counselor 0042752586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit PointeGroup PAC ID 4587551189, 24 clinicians

Practice addresses (Care Compare)

140 W Michigan Ave
Behavioral Health Resources
Battle Creek, MI 49017-3602
Phone (269) 966-2866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo County Community Mental Health Authority CurrentSince Jan 24, 2025 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Jan 24, 2025 Accepting new patients
Starr Commonwealth Mental Health Current Accepting new patients
Starr Commonwealth CurrentSince Apr 5, 2024 Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Starr Commonwealth Past Accepting new patients
Jackson Healing Clinic LLC Mental Health PastSince Feb 2, 2025 Accepting new patients

Locations

13725 Starr Commonwealth Rd
Albion, MI 49224
Phone (517) 629-5591

13725 Starr Commonwealth Rd
#R
Albion, MI 49224

300 River Place Dr
Ste 4950
Detroit, MI 48207
Phone (313) 497-3500

440 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 251-4498

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

610 S Burdick St
Kalamazoo, MI 49007
Phone (269) 373-6000

35640 W Michigan Ave
Wayne, MI 48184
Phone (517) 630-2446

Organizations & group practices 8

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1407418569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W MONROE ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W MONROE ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022079",
            "telephone_number": "517-945-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "SUMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.