Individual provider Active NPI

Melissa Sutherland, M.ED., L.P.C.

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1326163924
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13572 Issued in TX
Practice address
2118 N Main Ave Ste 101
San Antonio, TX 78212-5851
Phone
(210) 736-2700
Fax
(210) 736-2708
NPI assigned
Mar 20, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 13572 TX Primary
Professional Counselor 101YP2500X 13572 TX

Addresses

Primary practice location

2118 N Main Ave Ste 101
San Antonio, TX 78212-5851

Mailing address

2118 N Main Ave Ste 101
San Antonio, TX 78212-5851
Phone (210) 736-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240524000669 TX Practitioner - Mental Health Counselor 9436591211 Reassigns benefits to 3 organizations
Practice locations: Pflugerville, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
13572TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 17, 2024 Accepting new patients
R.E.F. Counseling Mental Health CurrentSince Apr 17, 2025 Accepting new patients
Lifebulb LLC Mental Health CurrentSince Oct 20, 2024 Accepting new patients
Thrive Counseling LLC Mental Health PastSince Sep 1, 2021 Accepting new patients

Locations

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

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1326163924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 N MAIN AVE STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125851",
            "telephone_number": "210-736-2700",
            "fax_number": "210-736-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 N MAIN AVE STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125851",
            "telephone_number": "210-736-2700",
            "fax_number": "210-736-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "M.ED., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13572",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.