Active NPI
Summer Sisterman
- Addiction (Substance Use Disorder) Counselor
- Chillicothe, OH
National Provider Identifier
1689169583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 164085
- Practice address
- 18 S Paint St
Chillicothe, OH 45601-3202 - Phone
- (740) 888-1377
- Fax
- (740) 879-2970
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 164085 | OH | Primary |
Addresses
Primary practice location
18 S Paint St
Chillicothe, OH 45601-3202
Mailing address
18 S Paint St
Chillicothe, OH 45601-3202
Phone (740) 888-1377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0096642 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 164085 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1689169583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S PAINT ST",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456013202",
"telephone_number": "740-888-1377",
"fax_number": "740-879-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S PAINT ST",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456013202",
"telephone_number": "740-888-1377",
"fax_number": "740-879-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISTERMAN",
"first_name": "SUMMER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "164085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0096642",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.