MS. KELLY SUMMERS LADC
NPI 1912217480
Counselor - Addiction (Substance Use Disorder) in Spring Lake Park, MN

Q: What is Kelly Summers's NPI number?

The NPI number for Kelly Summers is 1912217480. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Q: What is Kelly Summers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Summers was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 18, 2010

950 COUNTY HIGHWAY 10, 108, SPRING LAKE PARK, MN 55432(763) 355-5092 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Kelly Summers Ladc NPPES

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

MS. KELLY SUMMERS LADC (NPI 1912217480) is an individual addiction (substance use disorder) provider in Spring Lake Park, Minnesota, licensed in Minnesota (302446) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1912217480

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. KELLY SUMMERSCredential: LADC

Location Address950 COUNTY HIGHWAY 10, 108Spring Lake Park, MN 55432-1253

Mailing Address950 County Highway 10, 108Spring Lake Park, MN 55432-1253 · (763) 355-5092

Phone(763) 355-5092

Sole ProprietorYes

Enumeration DateOctober 18, 2010

✔ NPI 1912217480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 302446

950 COUNTY HIGHWAY 10, Spring Lake Park, MN 55432

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Other Providers at the Same Location NPPES

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

MOVING FORWARD ASSESSMENT SERVICES

Community/Behavioral Health

950 COUNTY HIGHWAY 10, 108
SPRING LAKE PARK, MN 55432

Anoka County (763) 355-5092

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 Kelly Summers's NPI number?

The NPI number for Kelly Summers is 1912217480. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Where is Kelly Summers located?

Kelly Summers practices at 950 County Highway 10 108, Spring Lake Park, MN 55432. The listed phone number is (763) 355-5092.

What is Kelly Summers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Summers was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.