Active NPI
Don Dolph Summers
- Mental Health Counselor
- San Francisco, CA
National Provider Identifier
1891018388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFT19184
- Practice address
- 3195 California St
San Francisco, CA 94115-2412 - Phone
- (415) 454-5538
- NPI assigned
- Mar 11, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT19184 | CA | Primary |
Addresses
Primary practice location
3195 California St
San Francisco, CA 94115-2412
Mailing address
6950 Lucas Valley Rd
Nicasio, CA 94946-9739
Phone (415) 454-5538
Other names 1
- Mr. Don Dolph Summers
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 |
|---|---|---|---|
| MFT19184 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1891018388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6950 LUCAS VALLEY RD",
"city": "NICASIO",
"state": "CA",
"postal_code": "949469739",
"telephone_number": "415-454-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3195 CALIFORNIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152412",
"telephone_number": "415-454-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "DON",
"middle_name": "DOLPH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT19184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DON",
"last_name": "SUMMERS",
"middle_name": "DOLPH",
"prefix": "MR.",
"credential": "MFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Francisco, CA
- Summer Health Medical Group of California PC
- Blake Summer
- Samantha Summerfield, M.S., SLP-CCC
- Jacqueline Elizabeth Summers Stromberg, MD
- April Tanesha Summers-Laxa
- Gwen Jill Summerville, M.D.
- Sarah Guo Summerville, M.D.
- Bridget Sumser, LCSW
- Chelsea Elizabeth Liu Sumulong, PA-C
- Sun Acupuncture & Healing Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.