Brady Sullivan Consulting, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BRADY SULLIVAN CONSULTING, LLC

Practice address

3115 S Grand Blvd Ste 300
Saint Louis, MO 63118-1046

Phone

(314) 339-7356

NPI assigned

May 4, 2022

Organization subpart

No

Name

Dr. Brady Sullivan, PHD, LPC, NCCNPI 1497244115

Title

Founder

Phone

(314) 339-7356

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brady Sullivan, LPC, NCC

  • Counselor
  • Saint Louis, MO
  • NPI 1497244115

  MO, Single Specialty

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

• Plumeria STL, Counseling and Consulting Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2022.

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1003551995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 LOUGHBOROUGH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162103",
            "telephone_number": "630-885-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S GRAND BLVD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181046",
            "telephone_number": "314-339-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY SULLIVAN CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "314-339-7356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plumeria STL, Counseling and Consulting Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camilla Bradsfield
• Rachael J Bradshaw, MS
• Robert William Bradshaw Jr., LPC
• Robyn Bradshaw
• Taylor Bradshaw, PHARMD
• Elizabeth A Brady-Clymer, RN
• Alina L Brady, LPC
• Amanda Joy Brady, LCSW
• Brenna Brady
• Brian King Brady, MD

• All providers in Saint Louis, MO
• Adult Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.