Summer Pauley, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A2307006 Issued in AR

Practice address

10801 Executive Center Dr Ste 303
Little Rock, AR 72211-4303

Phone

(501) 506-1587

Fax

(501) 298-2165

NPI assigned

Jul 27, 2023

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

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 and National Provider Directory roles.

• Coco Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
  • NPI 1326647918
  NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1538840129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 EXECUTIVE CENTER DR STE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114303",
            "telephone_number": "501-506-1587",
            "fax_number": "501-298-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 EXECUTIVE CENTER DR STE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114303",
            "telephone_number": "501-506-1587",
            "fax_number": "501-298-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "SUMMER",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A2307006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Burton, DDS, PA
• Paul E. Wylie, M.D., P.a.
• Gessie Paul-Tucker, LPC
• Eric M Paul, M.D.
• Jacob Wyatt Pauley
• Stephen Paulk
• Karen Paulos, MHPP
• Tracee Paulson
• Stephen Paulus, M.D.
• Thomas Paulus, M.D.

• Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.