MS. LISA FERRARA SUMMERS MFT
NPI 1902431026
Counselor - Mental Health in San Carlos, CA

Active since March 09, 2020Opted out of Medicare · through Feb 10, 2028
1139 SAN CARLOS AVE STE 310, SAN CARLOS, CA 94070(650) 521-9919 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Lisa Ferrara Summers Mft NPPES

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

MS. LISA FERRARA SUMMERS MFT (NPI 1902431026) is an individual mental health provider in San Carlos, California, licensed in California (105627) and active in the NPI registry since March 2020. She has opted out of Medicare through February 10, 2028.

NPPES Registry Identity

NPI1902431026
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LISA FERRARA SUMMERSCredential: MFT
Location Address1139 SAN CARLOS AVE STE 310San Carlos, CA 94070-2450
Mailing Address2005 Seabrook CtRedwood City, CA 94065-8478 · (650) 218-6130
Sole ProprietorYes
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
NPI 1902431026 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 CA · 105627
1139 SAN CARLOS AVE STE 310, San Carlos, CA 94070

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Lisa Ferrara Summers Mft 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 February 10, 2024 through February 10, 2028.

Opt-Out Effective DateFebruary 10, 2024
Opt-Out In Effect ThroughFebruary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lisa Summers's NPI number?

The NPI number for Lisa Summers is 1902431026. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Lisa Summers located?

Lisa Summers practices at 1139 San Carlos Ave Ste 310, San Carlos, CA 94070. The listed phone number is (650) 521-9919.

What is Lisa Summers's specialty?

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

Is Lisa Summers enrolled in Medicare?

No. Lisa Summers has opted out of Medicare through February 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Summers was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.