Individual provider Active NPI

Ross Sutherland Lynde, M. ED., LPC

  • Professional Counselor
  • Coinjock, NC
National Provider Identifier
1861596306
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4018 Issued in NC
Practice address
1359 Waterlily Rd
Coinjock, NC 27923-9740
Phone
(252) 207-2523
Fax
(252) 453-2883
NPI assigned
Sep 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4018 NC
Mental Health Counselor 101YM0800X 4018 NC
Professional Counselor 101YP2500X 4018 NC Primary

Addresses

Primary practice location

1359 Waterlily Rd
Coinjock, NC 27923-9740

Mailing address

1359 Waterlily Rd
Coinjock, NC 27923-9740
Phone (252) 207-2523

Other identifiers 2

IdentifierTypeStateIssuer
6102435MedicaidNC
131UNOtherNCBCBS OF NC

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861596306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 WATERLILY RD",
            "city": "COINJOCK",
            "state": "NC",
            "postal_code": "279239740",
            "telephone_number": "252-207-2523",
            "fax_number": "252-453-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 WATERLILY RD",
            "city": "COINJOCK",
            "state": "NC",
            "postal_code": "279239740",
            "telephone_number": "252-207-2523",
            "fax_number": "252-453-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNDE",
        "first_name": "ROSS",
        "middle_name": "SUTHERLAND",
        "name_prefix": "Mr.",
        "credential": "M. ED., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "4018",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4018",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102435",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "131UN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coinjock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.