Summer Phelps, CADC I

Key facts

NPI

1780162735

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

Practice address

104 4TH Ave SW
Albany, OR 97321-2804

Phone

(541) 967-3866

NPI assigned

Aug 1, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 1, 2018.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1780162735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210031",
            "telephone_number": "541-967-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 4TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212804",
            "telephone_number": "541-967-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "SUMMER",
        "credential": "CADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

• Denise Lynn Peterson, CRM
• Mariah Peterson
• Natalie Todd-Zebell Pexton, MD
• Joe V Pham, D.D.S.
• Jon Clifford Phelps
• Donald Frederick Odell Phillips, LPC-INTERN
• Tabitha Rose Phillips, PA-S
• Martha Ann Picchi, MS, CCC/SLP
• Gregory F Pick, PHYSICAL THERAPIST
• Lindsay Pierce, PA

All providers in Albany, OR · Addiction (Substance Use Disorder) Counselor in Oregon