Active NPIIndividual providerSole proprietor

Dr. Lisa R Summer, LCAT, LMHC, MT-BC

Counselor, Mental Health in Ny, New York

NPI Number1518392455
Practice location
202 West 40TH Street, Suite 403, Ny, NY 10018
Fax
—
Last updated
September 11, 2013

Lisa Rae Summer is a Counselor, Mental Health based in Ny, NY. Lisa Rae Summer practices in Ny, NY and has the professional credentials of LCAT, LMHC, MT-BC. The NPI Number for Lisa Rae Summer is 1518392455 and holds a License No. 000790 (NY). The current practice location address for Lisa Rae Summer is 202 West 40TH Street, Suite 403, Ny, NY 10018 and can be reached out via phone at 774-232-6725.

Provider Profile Details

NPI Number
1518392455
Provider Name
Lisa Rae Summer
Credential
LCAT, LMHC, MT-BC
Provider Entity Type
Individual
Gender
Male
Address
202 West 40TH Street, Suite 403, Ny, NY 10018
Phone Number
774-232-6725
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 11, 2013
Last Update Date
September 11, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
202 West 40TH Street
Suite 403
Ny, NY 10018
City
Ny
Zip
10018
Phone Number
774-232-6725
Ny, NY 10018Get directions →

Provider Business Mailing Address Details

Address
15 Brewster RD
Worcester, MA 01602-2213
City
Worcester
State
MA
Zip
01602-2213
Phone Number
774-232-6725

License Information

License Number (1)
000790
License State (1)
NY
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
000006494
License State (2)
MA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lisa R Summer, LCAT, LMHC, MT-BC?

The NPI number of Dr. Lisa R Summer, LCAT, LMHC, MT-BC is 1518392455. It was assigned on September 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Lisa R Summer, LCAT, LMHC, MT-BC?

Dr. Lisa R Summer, LCAT, LMHC, MT-BC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 000790.

Where does Dr. Lisa R Summer, LCAT, LMHC, MT-BC practice?

The practice location is 202 West 40TH Street, Suite 403, Ny, NY 10018. The office can be reached at 774-232-6725 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518392455 directly on the NPPES registry website.

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