DR. CHAUNTEL MARIE SUMMERS (NPI# 1396884128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396884128 |
| Entity Type | Individual |
| Full Name | DR. CHAUNTEL MARIE SUMMERS |
| Other Name | CHAUNTEL MARIE GUSTIS |
| Credential | PHD |
| Practice Address |
690 N Reilly Rd Ste, 3 Fayetteville NC 28303-5724 |
| Mailing Address |
49 Guilford Ct Spring Lake NC 28390-7058 |
| Practice Telephone | 9109912347 |
| Practice Fax Number | 9104362154 |
| Mailing Telephone | 9109876342 |
| Mailing Fax Number | 9104362154 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7412 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
PC003761 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROFESSIONAL COUNSELOR | PC003761 | 01 |
| NC | PROFESSIONAL COUNSELOR | 7412 | 01 |
| Street Address |
690 N REILLY RD STE, 3 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073054383 | Great Minds Think Alike, Pllc | Counselor | 690 N Reilly Rd, Suite 9, Fayetteville, NC 28303-5724 | 2017-03-20 |
| 1588068886 | Michelena Annette Riles Hendy | Developmental Therapist | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2014-10-15 |
| 1235533712 | Shanica Jones-colson | Counselor | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2014-10-13 |
| 1013326222 | R4 Therapeutic Solutions, Pllc | Community/Behavioral Health | 690 N Reilly Rd, Suite 2, Fayetteville, NC 28303-5724 | 2014-08-13 |
| 1235543448 | Life Support Counseling, Pllc | Social Worker | 690 N Reilly Rd, Suite # 214, Fayetteville, NC 28303-5724 | 2014-06-16 |
| 1457698268 | Ebony Brown | Social Worker | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2013-01-14 |
| 1902124191 | Community Connections Healthcare Services, LLC | Counselor | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2010-05-12 |
| 1073748992 | Community Connections Healthcare Services, LLC | Psychologist | 690 N Reilly Rd, Fayetteville, NC 28303-5724 | 2009-05-21 |
| 1710108550 | Hope for The Heart Home Care Agency, Inc. | Home Health | 690 N Reilly Rd, Suite 8, Fayetteville, NC 28303-5724 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1700421724 | Waylon Vande Hoef | Counselor | 1925 N Green Acres Rd, Fayetteville, AR 72703-2617 | 2019-11-13 |
| 1730640137 | Sherrita Hedgepeth | Counselor | 1351 Glen Iris Dr Apt 105, Fayetteville, NC 28314-6190 | 2019-03-28 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1073006540 | Rona Gooden | Counselor | 706 Dandridge Dr, Fayetteville, NC 28303-2017 | 2018-06-10 |
| 1194229245 | The Welling Place LLC | Counselor | 2525 Raeford Rd Ste C, Fayetteville, NC 28305-5092 | 2018-03-22 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1376062539 | Monique R Darnell | Counselor | 320 W. Lanier Avenue Ste 200, Fayetteville, GA 30214 | 2017-09-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on DR. CHAUNTEL MARIE SUMMERS.
| 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.