Active NPI
Sunghye N/a Oh, LC4021
- Professional Counselor
- Silver Spring, MD
National Provider Identifier
1164826392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC4021
- Practice address
- 36 Avonshire CT
Silver Spring, MD 20904-6712 - Phone
- (240) 704-9921
- Fax
- (240) 331-0307
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC4021 | MD | Primary |
Addresses
Primary practice location
36 Avonshire CT
Silver Spring, MD 20904-6712
Mailing address
36 Avonshire CT
Silver Spring, MD 20904-6712
Phone (240) 704-9921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085382800 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC4021 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1164826392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 AVONSHIRE CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209046712",
"telephone_number": "240-704-9921",
"fax_number": "240-331-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 AVONSHIRE CT",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209046712",
"telephone_number": "240-704-9921",
"fax_number": "240-331-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "SUNGHYE",
"middle_name": "N/A",
"credential": "LC4021",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC4021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085382800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.