JERRY ALAN SUMMERFIELD LMHC
NPI 1073859963
Counselor - Mental Health in Jeffersonville, IN
About Jerry Alan Summerfield Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY ALAN SUMMERFIELD LMHC (NPI 1073859963) is an individual mental health provider in Jeffersonville, Indiana, licensed in Indiana (39003597A) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jerry Alan Summerfield Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jerry Summerfield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Florida and Indiana enrollments
- 238 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jerry Summerfield's NPI number?
The NPI number for Jerry Summerfield is 1073859963. It was assigned to this individual provider in the NPPES registry on December 20, 2012.
Where is Jerry Summerfield located?
Jerry Summerfield practices at 601 N Shore Dr Ste 202, Jeffersonville, IN 47130. The listed phone number is (812) 913-7200.
What is Jerry Summerfield's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jerry Summerfield enrolled in Medicare?
Yes. Jerry Summerfield is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jerry Summerfield's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Summerfield reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Summerfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Summerfield accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Jerry Summerfield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jerry Summerfield was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Jerry Alan Summerfield, LMHC · NPI 1073859963
Mental Health provider in Jeffersonville, Indiana. Individual provider, active in the CMS NPPES registry since December 20, 2012.
## Identity
- **NPI:** 1073859963 (Entity type: Individual)
- **Enumerated:** December 20, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 39003597A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 601 N SHORE DR STE 202, Jeffersonville, IN 47130-3145
- **Phone:** (812) 913-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 8, 2025
- **Other identifiers:** Other MH13868 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1073859963) · Data from the CMS NPPES public registry.