Active NPI
Richard L Sudsberry
- Marriage & Family Therapist
- Avon, IN
National Provider Identifier
1801058508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35000500A
- Practice address
- 7519 Beechwood Centre Rd
Suite 400
Avon, IN 46123-7891 - Phone
- (317) 272-8138
- Fax
- (317) 272-8165
- NPI assigned
- Jun 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000746A | IN | |
| Marriage & Family Therapist | 106H00000X | 35000500A | IN | Primary |
Addresses
Primary practice location
7519 Beechwood Centre Rd
Suite 400
Avon, IN 46123-7891
Mailing address
7519 Beechwood Centre Rd
Suite 400
Avon, IN 46123-7891
Phone (317) 272-8138
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39000746A | IN | MD | Mental Health Counselor |
| 35000500A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1801058508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7519 BEECHWOOD CENTRE RD",
"address_2": "SUITE 400",
"city": "AVON",
"state": "IN",
"postal_code": "461237891",
"telephone_number": "317-272-8138",
"fax_number": "317-272-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7519 BEECHWOOD CENTRE RD",
"address_2": "SUITE 400",
"city": "AVON",
"state": "IN",
"postal_code": "461237891",
"telephone_number": "317-272-8138",
"fax_number": "317-272-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDSBERRY",
"first_name": "RICHARD",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000746A",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000500A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.