Organization Active NPI

Sunderland Counseling and Coaching LLC

  • Clinical Social Worker
  • Orono, ME
National Provider Identifier
1417424995
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNDERLAND COUNSELING AND COACHING LLC
Practice address
97 Forest Ave
Orono, ME 04473-3653
Phone
(207) 355-5777
Fax
(888) 845-9306
NPI assigned
Nov 1, 2018
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Marsha Fenton
Title
Credentialing Specialist
Phone
(714) 841-6885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

97 Forest Ave
Orono, ME 04473-3653

Mailing address

97 Forest Ave
Orono, ME 04473-3653
Phone (207) 355-5777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1417424995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 FOREST AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733653",
            "telephone_number": "207-355-5777",
            "fax_number": "888-845-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 FOREST AVE",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733653",
            "telephone_number": "207-355-5777",
            "fax_number": "888-845-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDERLAND COUNSELING AND COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "714-841-6885"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orono, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.