Stephanie Sump

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

12670 New Brittany Blvd Ste 201
Fort Myers, FL 33907-3650

Phone

(239) 310-5396

NPI assigned

Jan 3, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Traveling Therapist LLCGroup PAC ID 2769723402, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• The Traveling Therapist LLC

  • Mental Health Counselor
  • Cape Coral, FL
  • NPI 1699244640
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• Calm Waters Counseling Group

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1871326470
  NPD (past)

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1639718935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 NEW BRITTANY BLVD STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 NEW BRITTANY BLVD STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073650",
            "telephone_number": "239-310-5396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6803 S Western Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731391814",
            "country_code": "US",
            "telephone_number": "405-208-4469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMP",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerlin Bend Surgery Center LLP
• Summerlin Ciropractic, P.a.
• Summerlin Imaging Center LLC
• William Summey, DDS
• Kimberly Sumner
• Sun Coast Surgical Suites LLC
• Sunburst Cardiology LLC
• Suncoast Injury Centers LLC
• Suncoast Integrated Medical Center LLC
• Suncoast Surgery Center, LLC

• Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.