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

Timothy Jason Summers, LLPC

Individual provider Mental Health Counselor · NPI 1215435532

Timothy Jason Summers, LLPC is a Mental Health Counselor in Clarkston, Michigan. Qualified in 2016, 10 years ago. Practices with Lake Orion Counseling Center, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

3604 Clarkston Rd Ste 102
Clarkston, MI 48348-5215
Phone: (248) 595-9969
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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 6401016257 (MI)

Record details

NPI number1215435532
Entity typeIndividual (Type 1)
GenderMale
Credentials LLPC
Sole proprietorNo
NPI enumeratedFebruary 1, 2018
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address3604 Clarkston Rd Ste 102, Clarkston, MI 48348-5215

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lake Orion Counseling Center — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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