Active NPI
Ashton Leigh Sullivan, LPC, ATR
- Professional Counselor
- Beaufort, SC
National Provider Identifier
1033464623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6860
- Practice address
- 19 Marina Village LN.
Unit 27
Beaufort, SC 29906-2990 - Phone
- (843) 941-3482
- NPI assigned
- Jul 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6860 | SC | Primary |
Addresses
Primary practice location
19 Marina Village LN.
Unit 27
Beaufort, SC 29906-2990
Mailing address
PO Box 788
Port Royal, SC 29935-0788
Phone (843) 732-0850
Other practice location 1
3 Godfrey Place
Bluffton, SC 29910
Phone (843) 540-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6860 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerge Counseling & Art Therapy | Current | Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beaufort, SC
- NPI 1083225221
-
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1033464623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299350788",
"telephone_number": "843-732-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MARINA VILLAGE LN.",
"address_2": "UNIT 27",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299062990",
"telephone_number": "843-941-3482"
}
],
"practiceLocations": [
{
"address_1": "3 Godfrey Place",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "SC",
"postal_code": "29910",
"country_code": "US",
"telephone_number": "843-540-1616",
"fax_number": "843-781-8909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ASHTON",
"middle_name": "LEIGH",
"credential": "LPC, ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2020-09-21",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.