Individual provider Active NPI

Alisha Sumter

  • Professional Counselor
  • Raleigh, NC
National Provider Identifier
1194153320
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10639 Issued in NC
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

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3440ANCMDAddiction (Substance Use Disorder) Counselor
10639NCMDProfessional Counselor
A10639NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.