Melissa J Summerfield, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

761-125 Issued in WI

Practice address

10134 N Port Washington Rd
Mequon, WI 53092-5700

Phone

(262) 241-9881

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407936396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 W WATERFORD LN STE G",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138512",
            "telephone_number": "920-358-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10134 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925700",
            "telephone_number": "262-241-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11501 N Port Washington Rd",
            "address_2": "Suite G-30",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923465",
            "country_code": "US",
            "telephone_number": "262-241-9881",
            "fax_number": "262-365-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11501 N Port Washington Rd",
            "address_2": "Suite G-30",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923465",
            "country_code": "US",
            "telephone_number": "262-241-9881",
            "fax_number": "262-365-0651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5517 W Waterford Ln Ste G",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138512",
            "country_code": "US",
            "telephone_number": "920-358-0165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERFIELD",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "761-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PLAY THERAPIST",
            "identifier": "0085",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "761-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea Lynn Swanson, MA, LPC-IT
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• Philip James Swoboda, FAAA

• Mental Health Counselor in Mequon, WI
• Providers in Mequon, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.