Tiffanie D Sutherlin, PHD, LPC, NCC, ACS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701010518 Issued in VA

Practice address

2400 Old Brick Rd Ste 169
Glen Allen, VA 23060-5841

Phone

(804) 991-8401

NPI assigned

Jul 26, 2021

Sex

Female

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

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myspectrum LLC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1174029359
  Medicare reassignment NPD
• Ascend Counseling & Consulting PLLC

  • Community/Behavioral Health Agency
  • Glen Allen, VA
  • NPI 1376464826
  NPD (past) Authorized official
• Family Insight Inc

  • Behavior Analyst
  • Richmond, VA
  • NPI 1194996280
  NPD

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1609549880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "GLOUCESTER POINT",
            "state": "VA",
            "postal_code": "230620400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 OLD BRICK RD STE 169",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605841",
            "telephone_number": "804-991-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLIN",
        "first_name": "TIFFANIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yi Sun, M.D
• Surya P Dhakar DDS PC
• Surya P. Dhakar, D.D.S., P.C.
• Susan Archer, Inc
• Tamara Alberti Sutherland, M.D.
• Suzanne Frailing, LCSW, LLC
• John M Swangim, DPM
• Betty Ann Swenson, DVM
• Christian Scott Tabor, D.M.D.
• Tahir Hassan Khan MD PA Inc

• Mental Health Counselor in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.