TIMOTHY JASON SUMMERS (NPI# 1215435532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215435532 |
| Entity Type | Individual |
| Full Name | TIMOTHY JASON SUMMERS |
| Credential | LLPC |
| Practice Address |
279 Summit Dr Waterford MI 48329 |
| Mailing Address |
279 Summit Dr Waterford MI 48328-3364 |
| Practice Telephone | 2484094245 |
| Mailing Telephone | 2484094245 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401016257 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871121723 | Timothy Kyle Summers | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 | 2020-03-27 |
| 1639617863 | Timothy Summers | Hearing Instrument Specialist | 1830 Blake Ave, Suite #203, Glenwood Springs, CO 81601-4275 | 2017-02-08 |
| 1073684940 | Timothy Summers | Psychiatry & Neurology | 1818 College Drive, Meridian, MS 39307-5429 | 2006-11-13 |
| Street Address |
279 SUMMIT DR |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053364307 | Mark Anthony Mitchell | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2006-05-18 |
| 1699376533 | Kiersten Gutherman | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-11-06 |
| 1316551427 | Doris Vernita Jenkins | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-09-04 |
| 1528689205 | Kimberly Aundrea Moore | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-05-04 |
| 1477182491 | Holly Richard | Registered Nurse | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-04-02 |
| 1437784014 | Diana L Tige | Community Health Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-03-04 |
| 1063046928 | Amy Stern | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-28 |
| 1225661382 | Keith Albert Robinson | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-18 |
| 1326671660 | Kathy Sue Barber | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-14 |
| 1023641388 | Deundra Denise Fuller | Peer Specialist | 279 Summit Dr, Waterford, MI 48328-3364 | 2020-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1750895736 | Cindy Lynn Mcgraw | Counselor | 3455 Whitfield Dr, Waterford, MI 48329-1159 | 2017-11-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1588055057 | Goods Counseling Services LLC | Counselor | 412 High St., Waterford, PA 16441 | 2015-02-05 |
| 1235527334 | Nadia Dakoske | Counselor | 7178 Magnolia Ln, Waterford, MI 48327-4421 | 2014-12-26 |
| 1083963375 | Jeanette Elaine Owens | Counselor | 3525 Elizabeth Lake Rd, Waterford, MI 48328-3087 | 2012-09-03 |
| 1164660858 | Wendy Shawn Cook | Counselor | 2891 Reflection Ave, Waterford, MI 48328-2675 | 2009-02-03 |
| 1588706972 | Timothy J Teague | Counselor | 16159 Hamilton Station Rd, Waterford, VA 20197-1106 | 2007-02-13 |
| 1043395684 | John M Gonzalez | Counselor | 567 Vauxhall Street Ext. Suite 207, Waterford, CT 06385 | 2006-10-25 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.