Active NPI
Anne Elisabeth Moore Sutherland, LMHC
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1801576848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17539
- Practice address
- 518 Shoreview Ave
Winter Park, FL 32789-3637 - Phone
- (239) 284-8216
- NPI assigned
- Jul 24, 2023
- Last updated
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17539 | FL | Primary |
Addresses
Primary practice location
518 Shoreview Ave
Winter Park, FL 32789-3637
Mailing address
518 Shoreview Ave
Winter Park, FL 32789-3637
Phone (239) 284-8216
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 |
|---|---|---|---|
| MH17539 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1801576848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 SHOREVIEW AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893637",
"telephone_number": "239-284-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 SHOREVIEW AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893637",
"telephone_number": "239-284-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "ANNE",
"middle_name": "ELISABETH MOORE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Surgical Associates of Central Florida PA (Surgical Associates)
- Surgical Center Associates LTD (Winter Park Ambulatory Surgical Center)
- Surgical Group of Winter Park LLC
- Anne-Christine Surin, BSW
- Susan Weissmann, LLC
- Lyndsey Kelley Sutherland, FNP-BC
- Svetlana a Cascio MD PA (OB GYN Care Group)
- Luciana Svilpa, MSN, APRN, WHNP-BC
- Molly Swafford, PT
- Joan Eve Swain, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.