Active NPI
Lisa Michelle Sunshine Canada, LCADC, LPCC
- Addiction (Substance Use Disorder) Counselor
- Pine Knot, KY
National Provider Identifier
1730849977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 168351
- Practice address
- 55 Cal Hill Spur
Pine Knot, KY 42635-9194 - Phone
- (606) 376-9355
- NPI assigned
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 288968 | KY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 168351 | KY | Primary |
Addresses
Primary practice location
55 Cal Hill Spur
Pine Knot, KY 42635-9194
Mailing address
PO Box 302
Pine Knot, KY 42635-0302
Phone (606) 310-1107
Other practice location 1
2777 Sandhill Rd
Whitley City, KY 42653-4313
Phone (606) 310-1107
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168351 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 288968 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butterfly Behavior Therapy Group LLC | Addiction (Substance Use Disorder) | Current | 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 and National Provider Directory roles.
-
- Professional Counselor
- Whitley City, KY
- NPI 1952151987
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1730849977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 302",
"city": "PINE KNOT",
"state": "KY",
"postal_code": "426350302",
"telephone_number": "606-310-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CAL HILL SPUR",
"city": "PINE KNOT",
"state": "KY",
"postal_code": "426359194",
"telephone_number": "606-376-9355"
}
],
"practiceLocations": [
{
"address_1": "2777 Sandhill Rd",
"address_purpose": "LOCATION",
"city": "Whitley City",
"state": "KY",
"postal_code": "426534313",
"country_code": "US",
"telephone_number": "606-310-1107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANADA",
"first_name": "LISA",
"middle_name": "MICHELLE SUNSHINE",
"credential": "LCADC, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-29",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "288968",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "168351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Knot, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.