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

NPI Status: Active since July 29, 2014

Contact Information

201 NEW BRIDGE ST
SUITE 105
JACKSONVILLE, NC
ZIP 28540
Phone: (910) 336-4958
Fax: (910) 333-9742

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Accepts Insurance

About MARY SUMMERLIN

This page provides the complete NPI Profile along with additional information for Mary Summerlin, a provider established in Jacksonville, North Carolina with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1487062824 assigned on July 2014. The practitioner's primary taxonomy code is 101YM0800X with license number 11015 (NC). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1487062824
Provider Name
MS. MARY ANN SUMMERLIN LPCA
Gender
Female
Entity Type
Individual
Location Address
201 NEW BRIDGE ST SUITE 105 JACKSONVILLE, NC 28540
Location Phone
(910) 336-4958
Location Fax
(910) 333-9742
Mailing Address
201 NEW BRIDGE ST SUITE 105 JACKSONVILLE, NC 28540
Mailing Phone
(910) 336-4958
Mailing Fax
(910) 333-9742
Is Sole Proprietor?
No
Enumeration Date
07-29-2014
Last Update Date
02-01-2017
Code Navigator

A mental health counselor like Mary Summerlin provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
11015
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

LCAS - 21026 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487062824, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 0 + 6 + 4 + 8 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1487062824.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Social Worker (Clinical)
201 NEW BRIDGE ST, SUITE 208
JACKSONVILLE, NC 28540
Counselor (Professional)
201 NEW BRIDGE ST, SUITE 208
JACKSONVILLE, NC 28540
Community/Behavioral Health
201 NEW BRIDGE ST
JACKSONVILLE, NC 28540
Counselor (Professional)
201 NEW BRIDGE ST, SUITE 203
JACKSONVILLE, NC 28540
Social Worker (Clinical)
201 NEW BRIDGE ST
JACKSONVILLE, NC 28540
Non-emergency Medical Transport (VAN)
201 NEW BRIDGE ST
JACKSONVILLE, NC 28540
Counselor (Mental Health)
201 NEW BRIDGE ST
JACKSONVILLE, NC 28540

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487062824, enumerated as an "individual" on July 29, 2014.

The provider is located at 201 NEW BRIDGE ST SUITE 105 JACKSONVILLE, NC 28540 and the phone number is (910) 336-4958.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and Providence. Please consult your insurance carrier or call the provider to verify.