Individual provider Active NPI

Anthony A Sommer, MS LMHC

  • Mental Health Counselor
  • Elkhart, IN
National Provider Identifier
1740320936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000513 Issued in IN
Practice address
926 E Jackson Blvd
Elkhart, IN 46516-4351
Phone
(574) 522-6292
Fax
(574) 522-0481
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39000513 IN Primary

Addresses

Primary practice location

926 E Jackson Blvd
Elkhart, IN 46516-4351

Mailing address

926 E Jackson Blvd
Elkhart, IN 46516-4351
Phone (574) 522-6292

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 Science

State licenses

LicenseStateTypeSpecialty
39000513INMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Family Consultants Past Accepting new patients
Psychological & Family Consultants, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740320936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292",
            "fax_number": "574-522-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164351",
            "telephone_number": "574-522-6292",
            "fax_number": "574-522-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MS LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • 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.