MEDICARE: SUMMIT COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043146947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT COUNSELING

Provider Business Mailing Address
First Line	:	5850 NOLAN RD
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32773-7015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5850 NOLAN RD
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32773-7015
Country	:	US
Telephone Number	:	253-709-3220
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEANINA MANN
Credential	:
Telephone Number	:	253-709-3220

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “SUMMIT COUNSELING ” Practice Location

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