Organization Active NPI

Sumner Counseling Services, LLC

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1932466539
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
758, 1290 Issued in NE
Legal business name
SUMNER COUNSELING SERVICES, LLC
Practice address
2501 Lakeridge Dr
Ste. 104C
Norfolk, NE 68701-2558
Phone
(402) 640-5569
Fax
(402) 844-3406
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Laticia M Sumner, LIMHP
Title
Counselor/Owner
Phone
(402) 640-5569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 758, 1290 NE Primary

Addresses

Primary practice location

2501 Lakeridge Dr
Ste. 104C
Norfolk, NE 68701-2558

Mailing address

209 W Maple Ave
Norfolk, NE 68701-4135
Phone (402) 640-5569

Other identifiers 1

IdentifierTypeStateIssuer
10026017400MedicaidNE

National Provider Directory

National Provider Directory

Locations

2501 Lakeridge Dr
Ste 104C
Norfolk, NE 68701
Phone (402) 640-5569

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1932466539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W MAPLE AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014135",
            "telephone_number": "402-640-5569",
            "fax_number": "402-844-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR",
            "address_2": "STE. 104C",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558",
            "telephone_number": "402-640-5569",
            "fax_number": "402-844-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "SUMNER",
        "authorized_official_first_name": "LATICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "402-640-5569",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "758, 1290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026017400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.