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JEFFERY SUMMERVILLE II
NPI 1003694126
Counselor in Vancouver, WA

Active since September 19, 2023
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661(360) 993-3000 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffery Summerville Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERY SUMMERVILLE II (NPI 1003694126) is an individual counselor in Vancouver, Washington and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1003694126
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEFFERY SUMMERVILLE II
Location Address6926 NE FOURTH PLAIN BLVDVancouver, WA 98661-7254
Mailing Address6926 Ne Fourth Plain BlvdVancouver, WA 98661-7254
Phone(360) 993-3000
Sole ProprietorNo
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1003694126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
6926 NE FOURTH PLAIN BLVD, Vancouver, WA 98661
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REECE ALEXANDER LINDLEY
Counselor (Mental Health)
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3000
ANGEL PETERSON
Counselor (Mental Health)
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 933-3000
YOSELYNE JAZMIN MANRERO
Counselor (Mental Health)
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3000
ALYSE WRIGHT
Counselor (Mental Health)
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3000
THERESA HARWOOD
Peer Specialist
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3000
MEGAN B HILL CDP
Counselor (Addiction (Substance Use Disorder))
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3000
SONIA WALLER
Registered Nurse (Psychiatric/Mental Health)
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3000
ALEXANDRIA ROBISON
Counselor
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Summerville's NPI number?

The NPI number for Jeffery Summerville is 1003694126. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Jeffery Summerville located?

Jeffery Summerville practices at 6926 NE Fourth Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 993-3000.

What is Jeffery Summerville's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jeffery Summerville was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.