Individual provider Active NPI

Thomas Sutherland, MA, LPC, NCC

  • Counselor
  • Livonia, MI
National Provider Identifier
1538564133
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017263 Issued in MI
Practice address
33300 Five Mile Rd Ste 208
Livonia, MI 48154-3077
Phone
(734) 522-0280
NPI assigned
Oct 27, 2014
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017263 MI Primary

Addresses

Primary practice location

33300 Five Mile Rd Ste 208
Livonia, MI 48154-3077

Mailing address

33300 Five Mile Rd
Livonia, MI 48154-3093
Phone (734) 522-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Organizations & group practices 1

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1538564133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33300 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543093",
            "telephone_number": "734-522-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 FIVE MILE RD STE 208",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543077",
            "telephone_number": "734-522-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "THOMAS",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-27",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.