Michael Jeffrey Sondericker, LCMHCA, LCASA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Durham, NC
NPI 1114802469 · NPPES record last updated May 30, 2026
Key facts
- NPI
- 1114802469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1281293 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1281293 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A22941 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abhaya PLLC | Past |
Accepting new patients | |
| Abhaya PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1281293 | NC | Yes |
| Mental Health Counselor | 101YM0800X | A22941 | NC |
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 providers in Durham, NC
- Tamara J Somers
- Blair Ashley Somerville
- Courtney Sommer
- Aileen Son
- Nave Son
- Ailin Song
- David Song
- Ethan Yichen Song
- Fine Song
- Yaewoon Song
All providers in Durham, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.