Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538553300 Individual Practitioner Female Practitioner

Mary Shannon Sumner

Counselor • Prosser, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Sumner is a certified Counselor practicing in Prosser, WA. With approximately 12 years of clinical experience since completing medical education in 2014, Mary Sumner delivers high-quality medical care to the local community at 820 MEMORIAL ST STE 1.

Mary Sumner is affiliated with Port Gamble S'Klallam Tribe and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

820 Memorial St Ste 1

Prosser, WA 993502504

Telephone 5097862010
Fax 5097881794
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Prosser, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs Matches City Avg
City Avg: 12.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Prosser, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sumner (12 Years) 12 Yrs
Prosser Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA LH60802996

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1020986 (AK)

Hospital & Practice Group Affiliations

Port Gamble S'klallam Tribe

32020 Little Boston Rd Ne, Kingston, WA 983469734

Phone: 3602979649

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Edward Lane

Family Medicine

NPI 1013023738
Rebecca Reinhard

Physician Assistant

NPI 1073100640
Stefanie Wisse , RD

Dietitian, Registered

NPI 1073811998

Registered Dietitian

Katheryn Norris

Family Medicine

NPI 1124089875
Federico Martinez

Physician Assistant

NPI 1194329821
Rebecca Wray

Physician Assistant

NPI 1285120899

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active December 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2017

Registered at 820 MEMORIAL ST STE 1, PROSSER, WA 993502504 (Tel: 5097862010)

📍
Updated Business Mailing Address December 14, 2017

Registered at 820 MEMORIAL ST STE 1, PROSSER, WA 993502504 (Tel: 5097862010)

👤
Provider Name / Credentials Updated December 14, 2017

Recorded as MARY SUMNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2017

Counselor (License #LH60802996 in WA)

NPI Profile Active March 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2015

Registered at 829 CHIEF EDDIE HOFFMAN HWY, STE 150, BETHEL, AK 99559 (Tel: 9075436100)

📍
Updated Business Mailing Address March 19, 2015

Registered at PO BOX 528, ATTN: BEHAVIORAL HEALTH, BETHEL, AK 995590528 (Tel: 9075436100)

👤
Provider Name / Credentials Updated March 19, 2015

Recorded as MARY SHANNON SUMNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2015

Counselor

🟢
Initial NPI Registration & Enumeration March 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538553300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2015
Last Update: December 14, 2017
Sole Proprietor: No

Mailing Address

820 Memorial St Ste 1

Prosser, WA 993502504

Phone: 5097862010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.