Individual provider Active NPI

Michael Jeffrey Sondericker, LCMHCA, LCASA

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1114802469
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A22941 Issued in NC
Practice address
3710 University Dr Ste 100
Durham, NC 27707-6208
Phone
(919) 906-4390
Fax
(919) 287-2707
NPI assigned
Aug 6, 2025
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1281293 NC
Mental Health Counselor 101YM0800X A22941 NC Primary

Addresses

Primary practice location

3710 University Dr Ste 100
Durham, NC 27707-6208

Mailing address

3710 University Dr Ste 100
Durham, NC 27707-6208
Phone (919) 906-4390

Other practice location 1

2802 Eric Ln
Burlington, NC 27215-5491
Phone (336) 283-3951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1281293NCMDAddiction (Substance Use Disorder) Counselor
A22941NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abhaya PLLC PastSince Aug 1, 2025 Accepting new patients
Abhaya PLLC PastSince Aug 1, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1114802469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 UNIVERSITY DR STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076208",
            "telephone_number": "919-906-4390",
            "fax_number": "919-287-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 UNIVERSITY DR STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076208",
            "telephone_number": "919-906-4390",
            "fax_number": "919-287-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2802 Eric Ln",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155491",
            "country_code": "US",
            "telephone_number": "336-283-3951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONDERICKER",
        "first_name": "MICHAEL",
        "middle_name": "JEFFREY",
        "credential": "LCMHCA, LCASA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-06",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1281293",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.