Active NPI
Sudonna Harris
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1992213755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3544 Edgewater Dr
Orlando, FL 32804-2922 - Phone
- (407) 617-8928
- NPI assigned
- Jan 15, 2018
- Sex
- Female
- 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 | 21554 | FL | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3544 Edgewater Dr
Orlando, FL 32804-2922
Mailing address
1951 Shannon LN
Apopka, FL 32703-7685
Phone (407) 617-8928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21554 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1992213755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 SHANNON LN",
"city": "APOPKA",
"state": "FL",
"postal_code": "327037685",
"telephone_number": "407-617-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 EDGEWATER DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328042922",
"telephone_number": "407-617-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SUDONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "21554",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.