Individual provider Active NPI

Shauntay Sutherland, LPCA

  • Counselor
  • Somerset, KY
National Provider Identifier
1770175101
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
283585 Issued in KY
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

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106003385 KY Practitioner - Mental Health Counselor 3173051000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
283585KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Kentucky, LLC CurrentSince Oct 18, 2024 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.

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

Verify at the official NPI Registry.