Sunrise Therapeutic Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5754 Issued in MD

Legal business name

SUNRISE THERAPEUTIC SERVICES, INC.

Practice address

10111 Martin Luther King Jr Hwy
Suite 103
Bowie, MD 20720-4200

Phone

(240) 383-6343

NPI assigned

Sep 13, 2016

Last updated

Sep 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yolanda Yvette Rogers, LCPC

Title

Ceo

Phone

(240) 383-6343

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1366990921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY",
            "address_2": "SUITE 103",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204200",
            "telephone_number": "240-383-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY",
            "address_2": "SUITE 103",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204200",
            "telephone_number": "240-383-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-383-6343",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214237600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Bowie, MD
• Providers in Bowie, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.