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LORETTA TALYN SUMERSET-YOUNG
NPI 1104397108
Counselor - Professional in Chicago, IL

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
2611 S INDIANA AVE UNIT A, CHICAGO, IL 60616(708) 829-7939 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, Dec 17, 2018 (2 updates tracked since 2018).

About Loretta Talyn Sumerset-young NPPES

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

LORETTA TALYN SUMERSET-YOUNG (NPI 1104397108) is an individual professional provider in Chicago, Illinois and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104397108
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLORETTA TALYN SUMERSET-YOUNG
Location Address2611 S INDIANA AVE UNIT AChicago, IL 60616-2326
Mailing Address2611 S Indiana Ave Unit AChicago, IL 60616-2326 · (708) 829-7939
Phone(708) 829-7939
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1104397108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2611 S INDIANA AVE UNIT A, Chicago, IL 60616
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Loretta Talyn Sumerset-young 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.

PECOS PAC ID6204370984
PECOS Enrollment IDI20240705001396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Loretta Sumerset-young's NPI number?

The NPI number for Loretta Sumerset-young is 1104397108. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Loretta Sumerset-young located?

Loretta Sumerset-young practices at 2611 S Indiana Ave Unit A, Chicago, IL 60616. The listed phone number is (708) 829-7939.

What is Loretta Sumerset-young's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Loretta Sumerset-young enrolled in Medicare?

Yes. Loretta Sumerset-young 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.

When was this NPI record last updated?

The NPPES record for Loretta Sumerset-young was last updated on June 21, 2024. 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.