Active NPI
Trudy A Summers, M.A., L.M.H.C.
- Mental Health Counselor
- Gloucester, MA
National Provider Identifier
1679714265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5533
- Practice address
- 17 Rogers St
Suite 2-1
Gloucester, MA 01930-5038 - Phone
- (978) 282-8808
- NPI assigned
- Mar 12, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5533 | MA | Primary |
Addresses
Primary practice location
17 Rogers St
Suite 2-1
Gloucester, MA 01930-5038
Mailing address
17 Rogers St
Suite 2-1
Gloucester, MA 01930-5038
Phone (978) 282-8808
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 |
|---|---|---|---|
| 5533 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1679714265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ROGERS ST",
"address_2": "SUITE 2-1",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019305038",
"telephone_number": "978-282-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ROGERS ST",
"address_2": "SUITE 2-1",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019305038",
"telephone_number": "978-282-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "TRUDY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "M.A., L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.