Provider Demographics
NPI:1215560180
Name:SOMMERS, EMMA (LPC)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:
Last Name:SOMMERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2514
Mailing Address - Country:US
Mailing Address - Phone:908-279-4661
Mailing Address - Fax:
Practice Address - Street 1:181 SOUTH ST UNIT B1
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2164
Practice Address - Country:US
Practice Address - Phone:908-279-4661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00511200101YM0800X
NJ37PC00900200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health