Active NPI
Alisha Sumter
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1194153320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10639
- Practice address
- 4924 Windy Hill Dr Ste a
Raleigh, NC 27609-4930 - Phone
- (919) 855-1145
- Fax
- (302) 729-0988
- NPI assigned
- Oct 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3440A | NC | |
| Professional Counselor | 101YP2500X | A10639 | NC | |
| Professional Counselor | 101YP2500X | 10639 | NC | Primary |
Addresses
Primary practice location
4924 Windy Hill Dr Ste a
Raleigh, NC 27609-4930
Mailing address
5543 Fieldcross CT
Raleigh, NC 27610-6520
Other practice location 1
148 S Washington St
Suite 105
Rocky Mount, NC 27801-5501
Phone (252) 212-5524
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 |
|---|---|---|---|
| 3440A | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 10639 | NC | MD | Professional Counselor |
| A10639 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Create a Journey, LLC | Current | Accepting new patients |
Locations
4924 Windy Hill Dr
#A
Raleigh, NC 27609
Phone (919) 673-8240
4920 Windy Hill Dr
Ste A
Raleigh, NC 27609
Phone (470) 800-1220
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1558859264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1194153320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5543 FIELDCROSS CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276106520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4924 WINDY HILL DR STE A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094930",
"telephone_number": "919-855-1145",
"fax_number": "302-729-0988"
}
],
"practiceLocations": [
{
"address_1": "148 S Washington St",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "278015501",
"country_code": "US",
"telephone_number": "252-212-5524",
"fax_number": "252-121-8544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMTER",
"first_name": "ALISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-25",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3440A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A10639",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "10639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.