Active NPI
Mary Kathrine Rae Sumo, M.A.
- Rehabilitation Counselor
- Dallas, TX
National Provider Identifier
1619317674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 26084506
- Practice address
- 4500 Pear Ridge Dr
432
Dallas, TX 75287-5228 - Phone
- (972) 781-8086
- NPI assigned
- Jul 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 26084506 | TX | Primary |
Addresses
Primary practice location
4500 Pear Ridge Dr
432
Dallas, TX 75287-5228
Mailing address
4500 Pear Ridge Dr
432
Dallas, TX 75287-5228
Phone (972) 781-8086
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26084506 | TX | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372896000000",
"number": "1619317674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PEAR RIDGE DR",
"address_2": "432",
"city": "DALLAS",
"state": "TX",
"postal_code": "752875228",
"telephone_number": "972-781-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PEAR RIDGE DR",
"address_2": "432",
"city": "DALLAS",
"state": "TX",
"postal_code": "752875228",
"telephone_number": "972-781-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMO",
"first_name": "MARY",
"middle_name": "KATHRINE RAE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-04",
"last_updated": "2013-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "TX",
"license": "26084506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.