MARY SHANNON SUMNER – Counselor, NPI 1538553300

MARY SHANNON SUMNER is a healthcare provider. based in Prosser, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LH60802996 (WA). The NPI Number for MARY SHANNON SUMNER is 1538553300

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY SHANNON SUMNER
NPI
1538553300
Phone
(509) 786-2010
Address
820 MEMORIAL ST STE 1
Enumeration Date
19 March 2015
Last Update Date
14 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602979649
Graduation Year
2014 (12 years ago)
PAC ID
5395196612
Group Practice PAC ID
6204737927
Professional Enrollment ID
I20240110003948
Address ID
WA983469734KI32020NEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for MARY SHANNON SUMNER

  • 820 MEMORIAL ST STE 1

    PROSSER, WA 993502504

    Phone: (509) 786-2010

    Fax: (509) 788-1794

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240110003948IMental Health CounselorWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99350)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204737927View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physician AssistantWA
Family PracticeWA
Clinical Social WorkerWA
Nurse PractitionerWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Family PracticeWA
Internal Medicine, HospitalistWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Can I use this page to confirm MARY SHANNON SUMNER's NPI?
Yes. MARY SHANNON SUMNER is listed with NPI 1538553300 in the public NPI dataset.
Can I rely on MARY SHANNON SUMNER being an active provider?
As of the registry snapshot, MARY SHANNON SUMNER is marked active.
What healthcare role does MARY SHANNON SUMNER hold?
Scheduling teams often label MARY SHANNON SUMNER under Counselor. Clinical services aligned with this taxonomy classification.
Does MARY SHANNON SUMNER list a practice location?
Patients near Prosser, Washington may find MARY SHANNON SUMNER in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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