Organization Active NPI

Nisha Sundararaj, LLC

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1104653013
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NISHA SUNDARARAJ, LLC
Practice address
1 Richmond SQ Ste 333W
Providence, RI 02906-5156
Phone
(401) 660-3168
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Ms. Nisha Sundararaj, LMHCNPI 1841919081
Title
Therapist
Phone
(401) 660-3168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1 Richmond SQ Ste 333W
Providence, RI 02906-5156

Mailing address

1 Richmond SQ Ste 333W
Providence, RI 02906-5156
Phone (401) 660-3168

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1104653013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 333W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065156",
            "telephone_number": "401-660-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 333W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065156",
            "telephone_number": "401-660-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA SUNDARARAJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "SUNDARARAJ",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "401-660-3168",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.