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JEAN SUMMERROW LPC
NPI 1619331865
Counselor - Professional in Spartanburg, SC

Active since April 13, 2016PECOS Enrolled
250 DEWEY AVE, SPARTANBURG, SC 29303(864) 585-0366 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jean Summerrow Lpc NPPES

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

JEAN SUMMERROW LPC (NPI 1619331865) is an individual professional provider in Spartanburg, South Carolina, licensed in South Carolina (3530) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clinton, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1619331865
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJEAN SUMMERROWCredential: LPC
Location Address250 DEWEY AVESpartanburg, SC 29303-3009
Mailing Address250 Dewey AveSpartanburg, SC 29303-3009 · (864) 585-0366
Phone(864) 585-0366
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateApril 13, 2016
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1619331865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 3530
250 DEWEY AVE, Spartanburg, SC 29303
Open in Google Maps ↗

Secondary Practice Location 1

Location 1939 Springdale DrClinton, SC 29325-7266 · Phone (910) 742-9243 · Fax (888) 746-1787

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean Summerrow Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587103569
PECOS Enrollment IDI20240822003105
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.

Medicare Billing Reassignment

Medicare enrollment records show Jean Summerrow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Carolina Dept Of Mental Health Accounting Office
Same address
Mental Health (Including Community Mental Health Center)
250 DEWEY AVE
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1427168889 (864) 585-0366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MRS. KATRINA HOPE HEREFORD
Counselor
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
SHAKIRA LEAKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
LAUREN WRIGLEY MSW
Social Worker (Clinical)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (186) 440-6811
KATHY LITTLEJOHN MSW
Counselor (Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
TOMONDRA BROWN
Counselor (Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
MICHELLLE HORTON
Registered Nurse (Psychiatric/Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
ELAISHA GIBSON BA
Social Worker
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366
AMBER LACEY ELLISON RN
Registered Nurse (Psychiatric/Mental Health)
250 DEWEY AVE
SPARTANBURG, SC 29303
Spartanburg County (864) 585-0366

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 Jean Summerrow's NPI number?

The NPI number for Jean Summerrow is 1619331865. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Jean Summerrow located?

Jean Summerrow practices at 250 Dewey Ave, Spartanburg, SC 29303. The listed phone number is (864) 585-0366.

What is Jean Summerrow's specialty?

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

Is Jean Summerrow enrolled in Medicare?

Yes. Jean Summerrow is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jean Summerrow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Summerrow reassigns Medicare benefits to South Carolina Dept Of Mental Health Accounting Office (Spartanburg, SC). 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 Jean Summerrow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean Summerrow accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Jean Summerrow 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 Jean Summerrow was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.