Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Ann Summerville

Individual provider Mental Health Counselor · NPI 1770063646

Jessica Ann Summerville is a Mental Health Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1498 SE Tech Center Pl Ste 300
Vancouver, WA 98683-5509
Phone: (360) 200-8756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW61396047 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH61164216 (WA)

Record details

NPI number1770063646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 20, 2018
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Other providers in Vancouver