Active NPI
Sommer Anne Tubbs, LPC
- Professional Counselor
- Hernando, MS
National Provider Identifier
1790045391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1577
- Practice address
- 2725 Highway 51 S
Hernando, MS 38632-2634 - Phone
- (662) 449-1808
- Fax
- (662) 449-1811
- NPI assigned
- May 17, 2012
- Last updated
- May 17, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1577 | MS | Primary |
Addresses
Primary practice location
2725 Highway 51 S
Hernando, MS 38632-2634
Mailing address
PO Box 839
Corinth, MS 38835-0839
Phone (662) 286-9883
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 |
|---|---|---|---|
| 1577 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1790045391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 839",
"city": "CORINTH",
"state": "MS",
"postal_code": "388350839",
"telephone_number": "662-286-9883",
"fax_number": "662-286-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 HIGHWAY 51 S",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386322634",
"telephone_number": "662-449-1808",
"fax_number": "662-449-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBS",
"first_name": "SOMMER",
"middle_name": "ANNE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hernando, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.