MS. MARY ANN SUMMERLIN LPCA
NPI 1487062824
Counselor - Mental Health in Jacksonville, NC

Q: What is Mary Summerlin's NPI number?

The NPI number for Mary Summerlin is 1487062824. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Q: What is Mary Summerlin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Summerlin was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 29, 2014PECOS Enrolled

201 NEW BRIDGE ST, SUITE 105, JACKSONVILLE, NC 28540(910) 336-4958(910) 333-9742 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Mary Ann Summerlin Lpca NPPES

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

MS. MARY ANN SUMMERLIN LPCA (NPI 1487062824) is an individual mental health provider in Jacksonville, North Carolina, licensed in North Carolina (11015) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487062824

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. MARY ANN SUMMERLINCredential: LPCA

Location Address201 NEW BRIDGE ST, SUITE 105Jacksonville, NC 28540-4736

Mailing Address201 New Bridge St, Suite 105Jacksonville, NC 28540-4736 · (910) 336-4958 · Fax (910) 333-9742

Phone(910) 336-4958

Fax(910) 333-9742

Sole ProprietorNo

Enumeration DateJuly 29, 2014

Last NPPES UpdateFebruary 1, 2017

✔ NPI 1487062824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 11015

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS - 21026 (NC)

201 NEW BRIDGE ST, Jacksonville, NC 28540

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Ann Summerlin Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

PULSE TRANSPORT AND LOGISTICS LLC

Non-emergency Medical Transport (VAN)

201 NEW BRIDGE ST
JACKSONVILLE, NC 28540

Onslow County (252) 329-9222

BRIGHTER LIFE COUNSELING PLLC

Community/Behavioral Health

201 NEW BRIDGE ST
JACKSONVILLE, NC 28540

Onslow County (336) 755-6996

DAWN Y WRIGHT LPC

Counselor (Professional)

201 NEW BRIDGE ST, SUITE 208
JACKSONVILLE, NC 28540

Onslow County (910) 934-7042

MRS. DEJUAN JOYCE LUNDY LPCS

Counselor (Professional)

201 NEW BRIDGE ST, SUITE 203
JACKSONVILLE, NC 28540

Onslow County (919) 225-9315

MAYRA DORTON

Counselor (Mental Health)

201 NEW BRIDGE ST
JACKSONVILLE, NC 28540

Onslow County (910) 777-7220

MS. NORA REBECCA LEWIS LCSW

Social Worker (Clinical)

201 NEW BRIDGE ST, SUITE 208
JACKSONVILLE, NC 28540

Onslow County (910) 934-7042

ASHLEY JERREAD

Social Worker (Clinical)

201 NEW BRIDGE ST
JACKSONVILLE, NC 28540

Onslow County (910) 336-4958

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 Mary Summerlin's NPI number?

The NPI number for Mary Summerlin is 1487062824. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Mary Summerlin located?

Mary Summerlin practices at 201 New Bridge St Suite 105, Jacksonville, NC 28540. The listed phone number is (910) 336-4958.

What is Mary Summerlin's specialty?

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

Is Mary Summerlin enrolled in Medicare?

Yes. Mary Summerlin is registered in the Medicare PECOS enrollment system.

What insurance does Mary Summerlin accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Mary Summerlin 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 Mary Summerlin was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.