# SUMMER COUNSELING AND BEHAVIORAL HEALTH SUMMER COUNSELING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Summer Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649815614
- **Authorized official:** JENNIFER SUMMER KOKES MA, LPCC (PRESIDENT)
- **Authorized official phone:** (651) 327-0849

## Contact information

- **Practice address:** 1687 WOODLANE DR STE 208, WOODBURY, MN 55125-3047
- **Practice address phone:** (651) 327-0849
- **Mailing address:** 1687 WOODLANE DR STE 208, WOODBURY, MN 55125-3047
- **Mailing address phone:** (651) 327-0849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 04/11/2022