Michael Scott Summers, CDCA
Counselor, Addiction (Substance Use Disorder) in Portsmouth, OH. Individual provider (NPI-1).
NPI number1396258117
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1396258117
- Entity type
- Individual (NPI-1)
- Name
- Michael Scott Summers
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2017
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.167906 | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 162442 | OH | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | QMHS | OH |
Practice location
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685
Mailing address
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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