Individual provider Active NPI

Andrea Summers

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1528759503
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9690 Issued in NC
Practice address
2500 Summit Ave
Greensboro, NC 27405-4522
Phone
(336) 478-2532
NPI assigned
May 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 9690 NC Primary

Addresses

Primary practice location

2500 Summit Ave
Greensboro, NC 27405-4522

Mailing address

2506 Corinth Dr
Greensboro, NC 27406-4782
Phone (336) 478-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240606003641 NC Practitioner - Mental Health Counselor 7719429620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Authoracare CollectiveGroup PAC ID 3678558962, 11 clinicians

Practice addresses (Care Compare)

2504 Summit Ave
Greensboro, NC 27405-4522
Phone (336) 621-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9690NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Authoracare Collective CurrentSince Apr 23, 2024 Accepting new patients
Authoracare Collective Current Accepting new patients

Locations

914 Chapel Hill Rd
Burlington, NC 27215
Phone (336) 532-0100

2504 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

2500 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1528759503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 CORINTH DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064782",
            "telephone_number": "336-478-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054522",
            "telephone_number": "336-478-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.