Individual provider Active NPI

Kara Ann Sullivan, LPCMH

  • Mental Health Counselor
  • Rehoboth Beach, DE
National Provider Identifier
1003514506
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0011093 Issued in DE
Practice address
19409 Plantation Rd # 4
Rehoboth Beach, DE 19971-4493
Phone
(302) 224-1400
NPI assigned
Feb 23, 2023
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0011093 DE Primary

Addresses

Primary practice location

19409 Plantation Rd # 4
Rehoboth Beach, DE 19971-4493

Mailing address

19409 Plantation Rd # 4
Rehoboth Beach, DE 19971-4493
Phone (302) 224-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240531002666 DE Practitioner - Mental Health Counselor 0547602815 Reassigns benefits to 1 organization
Practice locations: Rehoboth BCH, DE

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Henlopen Sta
Unit 305B
Rehoboth BCH, DE 19971-3131
Phone (302) 703-7211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0011093DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Tree Counseling Mental Health CurrentSince Feb 23, 2025 Accepting new patients
State of Mind Counseling Services, LLC Mental Health CurrentSince Mar 18, 2024 Accepting new patients
Mid-Atlantic Behavioral Health, LLC Mental Health CurrentSince Feb 26, 2023 Accepting new patients
Center for Vein Restoration de LLC PastSince Feb 26, 2023 Accepting new patients

Locations

610 Marshall St
Milford, DE 19963
Phone (302) 359-3734

19409 Plantation Rd
Unit 4
Rehoboth Beach, DE 19971
Phone (302) 878-1262

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1003514506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19409 PLANTATION RD # 4",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714493",
            "telephone_number": "302-224-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19409 PLANTATION RD # 4",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714493",
            "telephone_number": "302-224-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KARA",
        "middle_name": "ANN",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "0011093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.