Individual provider Active NPI

Summer Marie Robertson, LPC-A

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1598487530
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
89875 Issued in TX
Practice address
8207 Callaghan Rd Ste 350
San Antonio, TX 78230-4737
Phone
(210) 538-6335
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 89875 TX Primary

Addresses

Primary practice location

8207 Callaghan Rd Ste 350
San Antonio, TX 78230-4737

Mailing address

5700 N Knoll Apt 1607
San Antonio, TX 78240-2258
Phone (248) 802-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
89875TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mendez Counseling Centers, PLLC Mental Health CurrentSince Sep 20, 2022 Accepting new patients

Locations

8207 Callaghan Rd
Ste 350
San Antonio, TX 78230
Phone (210) 418-2094

Organizations & group practices 1

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1598487530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N KNOLL APT 1607",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402258",
            "telephone_number": "248-802-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 CALLAGHAN RD STE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304737",
            "telephone_number": "210-538-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SUMMER",
        "middle_name": "MARIE",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.