Anna Boulware Sutton, MED, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17673 Issued in NC

Practice address

3901 Barrett Dr Ste 100
Raleigh, NC 27609-6523

Phone

(919) 900-7552

NPI assigned

Jun 9, 2022

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Lifeologie Counseling Raleigh, PLLC

  • Counselor
  • Raleigh, NC
  • NPI 1144750563
  NPD

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1235868753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 WILEY AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043240",
            "telephone_number": "615-243-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BARRETT DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096523",
            "telephone_number": "919-900-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ANNA",
        "middle_name": "BOULWARE",
        "credential": "MED, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily C Sutherland, LCMHCA
• Ruth Sutherland, MA
• Serene Sutherland
• Donna Sutphin, LPN
• Timothy Eugene Suttles, CRNA
• Anthony Farmer Sutton, ATC
• Betty King Sutton, DMD
• Claire Elizabeth Sutton, LCASA
• Crematha C. Sutton
• James M Sutton, LCSW

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.