Justine Renee Sommers
Counselor, Mental Health in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1629699129
StatusActive
Last updated in NPPESMay 6, 2020
Details
- NPI
- 1629699129
- Entity type
- Individual (NPI-1)
- Name
- Justine Renee Sommers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2020
- Certification date
- May 6, 2020
- Last updated
- May 6, 2020
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 |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
131 Nw Swann Mill CirPort St Lucie, FL 34986-3591
Phone 724-972-2827
Mailing address
131 Nw Swann Mill CirPort St Lucie, FL 34986-3591
Phone 724-972-2827
Is something wrong?
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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