Individual provider Active NPI

Lydia La Bella Sink, LPC

  • Professional Counselor
  • Charlottesville, VA
National Provider Identifier
1487831467
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2698 Issued in NC
Practice address
2703 Aldersgate Way
Charlottesville, VA 22911-5612
Phone
(630) 341-3203
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2698 NC Primary
Professional Counselor 101YP2500X 0701005586 VA

Addresses

Primary practice location

2703 Aldersgate Way
Charlottesville, VA 22911-5612

Mailing address

2703 Aldersgate Way
Charlottesville, VA 22911-5612
Phone (630) 341-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701005586VAMDProfessional Counselor
2698NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1487831467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 ALDERSGATE WAY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115612",
            "telephone_number": "630-341-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 ALDERSGATE WAY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229115612",
            "telephone_number": "630-341-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINK",
        "first_name": "LYDIA",
        "middle_name": "LA BELLA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2698",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.