Kimberly Anne Sutherland, M.ED, CAC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1707-01 Issued in CO

Practice address

1960 S Sherman St
Denver, CO 80210-4014

Phone

(720) 324-0008

NPI assigned

Sep 16, 2013

Last updated

Sep 16, 2013By the provider in NPPES

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

Credentials

Master of Education

State licenses

Practice roles

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

• Halei's Voice L.L.C.

  dba Title

  • Developmentally Disabled Services Day Training Agency
  • Aurora, CO
  • NPI 1659973709
  NPD Authorized official
• Centerboard Recovery Center

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1992078570
  NPD (past) Authorized official
• Centerboard Wellness Center

  • Community/Behavioral Health Agency
  • Denver, CO
  • NPI 1376079095
  Authorized official Same address or phone

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1003242611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E VIRGINIA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092721",
            "telephone_number": "720-324-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 S SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104014",
            "telephone_number": "720-324-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "M.ED, CAC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "1707-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Sutherland
• Griffin Sutherland, FNP-BC
• Jason D Sutherland, M.D.
• Jesse O Sutherland, MD
• Kelci Sutherland, RD
• Michelle Lynn Sutherland, PHARM D
• Michael Elliot Sutter, D.C.
• Autumn Lou Sutton
• James Bryce Sutton, MD
• John Nicholas Sutton, PA-C

• Addiction (Substance Use Disorder) Counselor in Denver, CO
• Providers in Denver, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.