MEDICARE: MS. MELISSA SUTHERLAND M.ED., L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	13572	TX
2	101YP2500X	Professional Counselor	13572	TX

General Provider Information

NPI Number	:	1326163924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA SUTHERLAND M.ED., L.P.C.

Provider Business Mailing Address
First Line	:	2118 N MAIN AVE STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-5851
Country	:	US
Telephone Number	:	210-736-2700
Fax Number	:	210-736-2708

Provider Business Practice Location Address
First Line	:	2118 N MAIN AVE STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-5851
Country	:	US
Telephone Number	:	210-736-2700
Fax Number	:	210-736-2708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1194114611 — KATHY PARKES MSN, RN, IBCLC
Practice Location Address:

5851 LOST CREEK ST.
SAN ANTONIO, TX
78247-1323

Practice Phone: 210-834-5399
Practice Fax:

1891451019 — ANGELA GOUGER LPC, BCN, SEP
Practice Location Address:

8610 OAK LEDGE DR
SAN ANTONIO, TX
78217-5851

Practice Phone: 832-798-4209
Practice Fax:

1528725199 — NAKITA CRUMP
Practice Location Address:

5538 ARCADIA PARK
SAN ANTONIO, TX
78247-5851

Practice Phone: 936-707-2370
Practice Fax:

1215721303 — NEIL ELIJAH SANTARIN CRISOSTOMO MD
Practice Location Address:

5851 ARMSTRONG WL
SAN ANTONIO, TX
78249-2318

Practice Phone: 210-306-8897
Practice Fax:

1700763125 — A NEW LEAF, LLC
Practice Location Address:

5851 BURGOYNE ST
SAN ANTONIO, TX
78233-5103

Practice Phone: 210-578-1509
Practice Fax:

1831196575 — KEVIN MCAULIFFE
Practice Location Address:

9925 SAN JOSE BLVD
JACKSONVILLE, FL
32257-5851

Practice Phone: 904-268-7400
Practice Fax:

Directions to “ MS. MELISSA SUTHERLAND M.ED., L.P.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.