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

MS. Mary Ann Summerlin, LPCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487062824

MS. Mary Ann Summerlin, LPCA is a Mental Health Counselor in Jacksonville, North Carolina. Qualified in 2014, 12 years ago. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

201 New Bridge St Ste 105
Jacksonville, NC 28540-4736
Phone: (910) 336-4958
Fax: (910) 333-9742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11015 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS - 21026 (NC)

Record details

NPI number1487062824
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCA
Sole proprietorNo
NPI enumeratedJuly 29, 2014
Last updated in NPPESFebruary 1, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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