ISAIAH JORDAN SUMMERS


Address: 9330 59th Ave Sw, Lakewood, WA 98499-2858
Phone: 2535817020

ISAIAH JORDAN SUMMERS (NPI# 1346895505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346895505
Entity Type Individual
Full Name ISAIAH JORDAN SUMMERS
Credential BASW
Practice Address 9330 59th Ave Sw
Lakewood
WA 98499-2858
Mailing Address 6400 Southcenter Blvd
Tukwila
WA 98188-2547
Practice Telephone 2535817020
Practice Fax Number 2536205789
Mailing Telephone 2069012000
Enumeration Date 2019-08-05
Last Update Date 2019-10-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 9330 59TH AVE SW
City LAKEWOOD
State WA
Zip Code 98499-2858

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225039811 Greater Lakes Mental Health Foundation Inc Community/Behavioral Health 9330 59th Ave Sw, Lakewood, WA 98499-2858 2005-08-03
1568063915 Taibika O Lofton Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2020-11-03
1164023552 Meaghan Nicole Trezza Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2020-11-03
1295335362 Estrella Nicole Alderete Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2020-10-28
1760081004 Taylor Shae Brenneise Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2020-10-19
1508463324 Lacey Lynn Gomez Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2020-10-05
1487261186 Mallory Enola O'brien Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2020-09-26
1912513136 Ashley Maeve Marrow Peer Specialist 9330 59th Ave Sw, Lakewood, WA 98499-6600 2020-09-22
1376158527 Sydney Freutel Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2020-09-14
1063027522 Tiffany Lynn Myers Counselor 9330 59th Ave Sw, Lakewood, WA 98499-2858 2020-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275159592 Sea Mar Community Health Centers Clinic/Center 5700 100th Street Se, Suite 510, Lakewood, WA 98499 2020-06-23
1568018828 Heather Leigh Andrade Behavioral Analyst 6210 75th St W Ste 100, Lakewood, WA 98499 2019-08-13
1043870876 Seoul Chinese Herbs Inc Acupuncturist 8705 S. Tacoma Way, Lakewood, WA 98499 2019-06-14
1013572064 Puget Sound Kidney Centers Clinic/Center 11950 47th Ave Sw, Lakewood, WA 98499 2019-05-06
1447736657 Marcela Cunan Counselor 9330 59th Avenue Southest, Lakewood, WA 98499 2018-07-11
1609382381 Leroy Moore IIi Counselor 8811 S. Tacoma Way, 106, Lakewood, WA 98499 2017-12-18
1578077657 Andrea Gaston Behavior Technician 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 2017-11-27
1609389931 Jennifer King Social Worker 5900 100th St Sw Ste 17b, Lakewood, WA 98499 2017-11-08
1750806337 Wonyoung Lee Counselor 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 2017-08-04
1043749443 Frederick Paltron Edwards Counselor 9500 Front Street, Suite 100, Lakewood, WA 98499 2017-06-08
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225637572 Carolyn Walker Counselor 8805 W 14th Ave Ste 200, Lakewood, CO 80215-4848 2020-10-19
1538766480 George Sutherland Counselor 857 Fenton St, Lakewood, CO 80214-2437 2020-10-05
1144839929 Hollowell Counseling LLC Counselor 1619 Onondaga Ave, Lakewood, OH 44107-4310 2020-07-28
1891349130 Tiffany Montano Counselor 1597 Cole Blvd Ste 250, Lakewood, CO 80401-3417 2019-07-25
1528536943 Mariah Rossel Counselor 8211 Rocky Mountain Dr, Lakewood, CO 80214-5546 2018-11-03
1033686688 Dmitra R Danilenko-dixon Counselor 12567 W Cedar Dr Ste 100, Lakewood, CO 80228-2041 2018-10-31
1093294779 Guided Perspectives LLC Counselor 15644 Madison Ave Ste 208, Lakewood, OH 44107-5622 2018-08-13
1467955138 Deanna Adriano Counselor 7873 W Mansfield Pkwy Unit 2-104, Lakewood, CO 80235-3327 2018-03-08
1568964773 Maria A Jonas Counselor 700 Lakewood Ave, Lakewood, NJ 08701 2018-03-03
1609382381 Leroy Moore IIi Counselor 8811 S. Tacoma Way, 106, Lakewood, WA 98499 2017-12-18
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Competitor

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City LAKEWOOD
Zip Code 98499

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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