Active NPI
Shauntay Sutherland, LPCA
- Counselor
- Somerset, KY
National Provider Identifier
1770175101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 283585
- Practice address
- 349 Bogle St
Somerset, KY 42503-2895 - Phone
- (606) 485-4611
- NPI assigned
- Feb 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 283585 | KY | Primary |
Addresses
Primary practice location
349 Bogle St
Somerset, KY 42503-2895
Mailing address
349 Bogle St
Somerset, KY 42503-2895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283585 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spero Health of Kentucky, LLC | Current | Accepting new patients |
Locations
106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340
349 Bogle St
Ste B
Somerset, KY 42503
Phone (606) 451-9448
155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359
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.
-
- Addiction Medicine (Family Medicine) Physician
- Danville, KY
- NPI 1982102109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1770175101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 BOGLE ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 BOGLE ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032895",
"telephone_number": "606-485-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "SHAUNTAY",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "283585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.