Nisha Sundararaj, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00784 Issued in RI

Practice address

1 Richmond SQ Ste 333W
Providence, RI 02906-5156

Phone

(401) 680-0875

NPI assigned

Aug 23, 2022

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nisha Sundararaj, LLC

  • Mental Health Counselor
  • Providence, RI
  • NPI 1104653013
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1841919081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 333W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065156",
            "telephone_number": "401-680-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 333W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065156",
            "telephone_number": "401-680-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARARAJ",
        "first_name": "NISHA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Medical Group
• Summit Ri SNF, LLC
• Felicia Wang Sun, MD, MPHIL
• Kevin Sun, MD
• Tianying Sun
• Jennifer R. Sunderland, CNM
• Keith B Sunderlin, PAC
• Kristen Angell Sundin, LICSW
• Selim Suner, MD
• Chien-Ren James Sung, MD

• Mental Health Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.