EVAN SUMMASUP
NPI 1710719349
Counselor - Mental Health in Concord, NH

Active since August 14, 2024Opted out of Medicare · through Oct 9, 2026
1 BARBERRY LN, CONCORD, NH 03301(617) 819-0914 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Evan Summasup NPPES

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

EVAN SUMMASUP (NPI 1710719349) is an individual mental health provider in Concord, New Hampshire, licensed in New Hampshire (4738) and active in the NPI registry since August 2024. He has opted out of Medicare through October 9, 2026.

NPPES Registry Identity

NPI1710719349
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN SUMMASUP
Location Address1 BARBERRY LNConcord, NH 03301-2417
Mailing AddressPo Box 4041Concord, NH 03302-4041 · (617) 819-0914
Sole ProprietorNo
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
NPI 1710719349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NH · 4738
1 BARBERRY LN, Concord, NH 03301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Evan Summasup has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 9, 2024 through October 9, 2026.

Opt-Out Effective DateOctober 9, 2024
Opt-Out In Effect ThroughOctober 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
1 BARBERRY LN
CONCORD, NH 03301
Counselor (Mental Health)
1 BARBERRY LN
CONCORD, NH 03301
Counselor (Mental Health)
1 BARBERRY LN
CONCORD, NH 03301
Social Worker
1 BARBERRY LN
CONCORD, NH 03301

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 Evan Summasup's NPI number?

The NPI number for Evan Summasup is 1710719349. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Evan Summasup located?

Evan Summasup practices at 1 Barberry Ln, Concord, NH 03301. The listed phone number is (617) 819-0914.

What is Evan Summasup's specialty?

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

Is Evan Summasup enrolled in Medicare?

No. Evan Summasup has opted out of Medicare through October 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Evan Summasup accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and WellSense Health Plan list Evan Summasup 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 Evan Summasup was last updated on August 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.