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JACQUELYN DIANE SUMMERLIN
NPI 1053985838
Counselor - Mental Health in Detroit, MI

Active since May 17, 2021
740 W. MILWAUKEE, DETROIT, MI 48202(313) 344-9099 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacquelyn Diane Summerlin NPPES

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

JACQUELYN DIANE SUMMERLIN (NPI 1053985838) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6801015744) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1053985838
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELYN DIANE SUMMERLIN
Location Address740 W. MILWAUKEEDetroit, MI 48202
Mailing Address740 W. MilwaukeeDetroit, MI 48202 · (313) 344-9099
Phone(313) 344-9099
Sole ProprietorYes
Enumeration DateMay 17, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1053985838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6801015744
740 W. MILWAUKEE, Detroit, MI 48202
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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 Jacquelyn Summerlin's NPI number?

The NPI number for Jacquelyn Summerlin is 1053985838. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Jacquelyn Summerlin located?

Jacquelyn Summerlin practices at 740 W. Milwaukee, Detroit, MI 48202. The listed phone number is (313) 344-9099.

What is Jacquelyn Summerlin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Summerlin was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.