Alvin C Sutherland, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004159 Issued in GA

Practice address

332 Shawnee Indian LN
Suwanee, GA 30024-6531

Phone

(337) 319-5476

NPI assigned

Nov 8, 2007

Sex

Male

Sole proprietor

No

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

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.

• The Sutherland Center, LLC

  • Community/Behavioral Health Agency
  • Douglasville, GA
  • NPI 1265817530
  NPD (past) Authorized official

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1023298908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 RESERVE HILL XING",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355188",
            "telephone_number": "770-853-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SHAWNEE INDIAN LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246531",
            "telephone_number": "337-319-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "ALVIN",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreme Dental Group LLC
• Supreme Spine and Pain Physicians LLC
• Surgical Services of Georgia LLC
• Surgipro, Inc
• Surgipro, Inc.
• Suwanee Acupuncture LLC
• Suwanee Anesthesia Service LLC
• Suwanee Chiropractic, LLC
• Suwanee Family Dentistry, LLC
• Suwanee Foot and Ankle Specialists LLC

• Professional Counselor in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.