Lida Mary Sunderland, ATR-BC, LPC, LCPAT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PRC15485 Issued in DC

Practice address

5039 Connecticut Ave NW Ste 7
Washington, DC 20008-2056

Phone

(202) 660-1422

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1467127407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 CONNECTICUT AVE NW STE 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082056",
            "telephone_number": "202-660-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 CONNECTICUT AVE NW STE 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082056",
            "telephone_number": "202-660-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERLAND",
        "first_name": "LIDA",
        "middle_name": "MARY",
        "credential": "ATR-BC, LPC, LCPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2024-03-04",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATC282",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "address_1": "5039 Connecticut Ave NW Ste 7",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200082056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Professional Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.