Jeffrey Sumber, MA, MTS, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0001636336 Issued in IL

Practice address

5138 N Clark St
Chicago, IL 60640-2828

Phone

(312) 636-7699

NPI assigned

Apr 10, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720201981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W ARDMORE AVE",
            "address_2": "#1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603466",
            "telephone_number": "312-636-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5138 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402828",
            "telephone_number": "312-636-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMBER",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "MA, MTS, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "0001636336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah A Suma, MS, ACAGNP-BC
• Abegail B Sumagui, PA-C
• Samantha Rose Sumait, DNP, FNP-BC
• Moez Karmali Sumar, MD
• Beatrice Sumayop, COTA/L
• Sumeet Bagai DDS PC
• Loretta Talyn Sumerset-Young
• Nicole Sumida, LCSW
• Agnieszka Suminski
• Kimberly Sumislawski, PA-C

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.