Individual provider Active NPI

Natalya Sorlien, MS, LMFTA

  • Marriage & Family Therapist
  • Elizabeth City, NC
National Provider Identifier
1013401603
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12190A Issued in NC
Practice address
1400 W Church St
Elizabeth City, NC 27909-4510
Phone
(252) 331-0322
Fax
(252) 331-0320
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12190A NC Primary

Addresses

Primary practice location

1400 W Church St
Elizabeth City, NC 27909-4510

Mailing address

1400 W Church St
Elizabeth City, NC 27909-4510
Phone (252) 331-0322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12190ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tea and Therapy, PLLC Marriage & Family Therapist Current Accepting new patients
Three Little Birds Therapy and Wellness, LLC Marriage & Family Therapist PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1013401603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W CHURCH ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094510",
            "telephone_number": "252-331-0322",
            "fax_number": "252-331-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W CHURCH ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094510",
            "telephone_number": "252-331-0322",
            "fax_number": "252-331-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORLIEN",
        "first_name": "NATALYA",
        "credential": "MS, LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12190A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.