Active NPI
Sunderland Counseling and Coaching LLC
- Clinical Social Worker
- Orono, ME
National Provider Identifier
1417424995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 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 DirectoryNPI 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
- Sarah J Somers, FNP
- Sarah E Stewart, DO
- Judith Lee Stickles, MA CCCSLP
- Sunbury Primary Care PA (Dirigo Office)
- Sunbury Primary Care, P.a. (Orono Family Medicine)
- Summer Sunderland, LCSW
- Ryan Wayne Taylor, ATC
- Jennifer Lauren Thompson
- Kristin Michelle Thompson
- Through the Woods Counseling LLC (Joanna Preble)
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.