Colleen Anne Sullivan, M.ED LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH13982 Issued in FL

Practice address

1217 White St
Suite 201
Key West, FL 33040-3367

Phone

(305) 497-7335

NPI assigned

Aug 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Great Minds Counseling LLC

  • Professional Counselor
  • Key West, FL
  • NPI 1336613363
  NPD (past) Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1013100429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BLUE WATER DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330406103",
            "telephone_number": "786-659-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WHITE ST",
            "address_2": "SUITE 201",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403367",
            "telephone_number": "305-497-7335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 41st Street Ocean",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "FL",
            "postal_code": "330502373",
            "country_code": "US",
            "telephone_number": "305-434-7660",
            "fax_number": "305-434-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "COLLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.ED LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH13982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Stokes, MOTRL
• Kelli Stolar, CASE MANAGER
• Ashley Marita Strobel, RPHT
• Alyssa Suggs
• Albert L Sullivan, M.D.
• Sandra Sun, APRN
• Anne R Sunkel, BA CAC
• Surgery Center of Key West LLC
• John W Swann, PD
• Mark E. Swartz, PT

• Professional Counselor in Key West, FL
• Providers in Key West, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.