Audrey M Sudberry, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C05000407 Issued in OH

Practice address

1991 Lee Rd
#10 Abel Counseling & Assocs
Cleveland Heights, OH 44118-1177

Phone

(216) 923-0823

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1538326129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26241 LAKE SHORE BLVD",
            "address_2": "#2164",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441321177",
            "telephone_number": "216-923-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 LEE RD",
            "address_2": "#10 ABEL COUNSELING & ASSOCS",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181177",
            "telephone_number": "216-923-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDBERRY",
        "first_name": "AUDREY",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C05000407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika R Storrs, LPN
• Stortop
• William Andrew Hart Stotter, AT, ATC, CSCS
• Katrina R Strayer
• Jillian Michelle Strowder
• Catherine Post Sullivan, LISW
• Sumai Medical, Inc
• Shirley Ann Sumlin
• Gina Suozzi, RDN
• Supportive Advice, LLC (Supportive Advice)

• Mental Health Counselor in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.