Active NPI
Summer Ladd, LPC-A
- Counselor
- Fort Worth, TX
National Provider Identifier
1790595056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 96575
- Practice address
- 2630 West Fwy Ste 120
Fort Worth, TX 76102-7117 - Phone
- (817) 480-6094
- NPI assigned
- Jan 9, 2025
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 96575 | TX | Primary |
Addresses
Primary practice location
2630 West Fwy Ste 120
Fort Worth, TX 76102-7117
Mailing address
4417 Chaparral CT
Alvarado, TX 76009-8596
Phone (817) 480-6094
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 |
|---|---|---|---|
| 96575 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1790595056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 CHAPARRAL CT",
"city": "ALVARADO",
"state": "TX",
"postal_code": "760098596",
"telephone_number": "817-480-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 WEST FWY STE 120",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761027117",
"telephone_number": "817-480-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADD",
"first_name": "SUMMER",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "96575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.