Vincent Joseph Sultenfuss III, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19234 Issued in NC

Practice address

8512 Six Forks Rd
Raleigh, NC 27615-3255

Phone

(919) 277-0253

NPI assigned

Jan 14, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optum Behavioral Care of North Carolina, PC

  dba Carolina Behavioral Care Centers

  • Counseling Psychologist
  • Hillsborough, NC
  • NPI 1629843933
  Medicare reassignment NPD
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Charlotte, NC
  • NPI 1427823749
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1083188072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TOM WILLIAMS RD",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967525",
            "telephone_number": "850-382-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153255",
            "telephone_number": "919-277-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14901 Broschart Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503318",
            "country_code": "US",
            "telephone_number": "240-238-1631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULTENFUSS",
        "first_name": "VINCENT",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-14",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11338",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "19234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Roddy Sullivan, COTA/L
• Rebecca Sullivan
• Sean Michael Sullivan, PT, DPT
• William Gregory Sullivan, MD
• Timothy Michael Sult, O.D.
• Summer Manor
• Sheila J Summer, MS,CCCSLP
• Shyan Marie Summerall
• Dana Renee Summerfield, LCSW
• Elizabeth A Summers, LCSW

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.