Individual provider Active NPI

Fulani Noni Sutherland, LPC

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1184127664
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
142159 Issued in AK
Practice address
4320 Diplomacy Dr Ste 1500
Anchorage, AK 99508-5925
Phone
(907) 729-2500
NPI assigned
Mar 12, 2018
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 142159 AK Primary

Addresses

Primary practice location

4320 Diplomacy Dr Ste 1500
Anchorage, AK 99508-5925

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8901

Other practice location 1

4020 Folker St
Anchorage, AK 99508-5321
Phone (907) 563-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, AK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241226001025 TX Practitioner - Mental Health Counselor 9739616152 Reassigns benefits to 1 organization
I20251209002805 GA Practitioner - Mental Health Counselor 9739616152 Reassigns benefits to 1 organization
I20260310003197 AK Practitioner - Mental Health Counselor 9739616152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142159AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Mental Health CurrentSince Dec 22, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 28, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Dec 1, 2024 Accepting new patients
Southcentral Foundation CurrentSince Dec 1, 2024 Accepting new patients
Southcentral Foundation CurrentSince Dec 1, 2024 Accepting new patients
Southcentral Foundation Current Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4320 Diplomacy Dr
Ste 1500
Anchorage, AK 99508
Phone 90772925003

4501 Diplomacy Dr
Anchorage, AK 99508
Phone (800) 478-3343

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1184127664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-8901",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DIPLOMACY DR STE 1500",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085925",
            "telephone_number": "907-729-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Folker St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085321",
            "country_code": "US",
            "telephone_number": "907-563-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "FULANI",
        "middle_name": "NONI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "142159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.