Theresa C Summer, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61366722 Issued in WA

Practice address

1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208

Phone

(360) 878-8248

NPI assigned

Jun 26, 2017

Last updated

Sep 29, 2023By the provider in NPPES

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

Locations

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.

• Catholic Community Services WW

  • Community/Behavioral Health Agency
  • Olympia, WA
  • NPI 1568785293
  NPD
• Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1093864589
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1487174868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 CLEVELAND AVE SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014605",
            "telephone_number": "256-606-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BLACK LAKE BLVD SW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985027208",
            "telephone_number": "360-878-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMER",
        "first_name": "THERESA",
        "middle_name": "C",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61366722",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jane Sullivan, LCSW, MSW, MED
• Timothy W Sullivan
• Vicki B Sullivan, OTR/L, CHT
• Wendy Sullivan, LMP
• Sanghamitra Suman
• Summit Dermatology PS
• Eric Sun, DDS
• Suzanne Sheryl Sund, LMP
• Donald Andrew Sunde, D.M.D
• Ann-Kristin Sundell, M.D.

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.