Sundaura Lithman, MSW, CSWA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2901 E Burnside St
Portland, OR 97214-1831

Phone

(503) 238-5203

Fax

(503) 238-5202

NPI assigned

Jul 20, 2018

Last updated

Jul 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 22, 2022 through Jun 22, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Radiance Integrative Health & Wellness

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1124863261

  Mental Health

  NPD Authorized official
• Redwood Collaborative, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1477252716
  NPD Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1124505391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141831",
            "telephone_number": "503-238-5203",
            "fax_number": "503-238-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141831",
            "telephone_number": "503-238-5203",
            "fax_number": "503-238-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITHMAN",
        "first_name": "SUNDAURA",
        "credential": "MSW, CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Lisoski
• Sharon F Lissman, MD
• Listen in Counseling, LLC
• Dustin Allan Litchfield
• Laryssa Sophia Liteplo, FNP
• Robert J Litt, M.D.
• Karen A Littell, MA
• Melanie Littell
• Tristen Sierra Litterio
• Little Fig Acupuncture

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.