James Kirby Sutterfield, MA, LPC-S, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18381 Issued in TX

Practice address

4007 S Wilson St
Amarillo, TX 79118-7760

Phone

(806) 584-6639

NPI assigned

Feb 13, 2022

Last updated

Feb 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644710400000",
    "number": "1235884818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30814",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791200814",
            "telephone_number": "806-584-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 S WILSON ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791187760",
            "telephone_number": "806-584-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTERFIELD",
        "first_name": "JAMES",
        "middle_name": "KIRBY",
        "name_prefix": "Mr.",
        "credential": "MA, LPC-S, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "8627",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristin Kae Swanson, DDS

• Professional Counselor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; 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.