Active NPI
Jeffrey M Sullivan, M.S., LPC
- Professional Counselor
- Spring, TX
National Provider Identifier
1114215266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66871
- Practice address
- 2219 Sawdust Rd Ste 1101
Spring, TX 77380 - Phone
- (940) 372-0489
- NPI assigned
- Jul 11, 2011
- Sex
- Male
- 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 | 66871 | TX | Primary |
Addresses
Primary practice location
2219 Sawdust Rd Ste 1101
Spring, TX 77380
Mailing address
2219 Sawdust Rd Ste 1101
The Woodlands, TX 77380-2580
Phone (940) 372-0489
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66871 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1114215266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 SAWDUST RD STE 1101",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802580",
"telephone_number": "940-372-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 SAWDUST RD STE 1101",
"city": "SPRING",
"state": "TX",
"postal_code": "77380",
"telephone_number": "940-372-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.S., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
- Sublime Care Emergency Room,LLC
- Sublime Care Medical Group, PLLC
- Sublime Urgent Care, PLLC
- Suburban Outlook for Recovery & Academic Exchange Inc.
- Bindu Sudhakaran, M.D.
- Nighat Sultana, MD
- Robert D Summers, D.D.S.
- Hannah Leffingwell Sumrall, MS, CCC-SLP
- Amie Mao Sun-Wright, MD
- Ming Sun, D.D.S., M.S.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.