Tina J Sullivan Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TINA J SULLIVAN COUNSELING SERVICES LLC

Practice address

609 Washington Ave
Ocean Springs, MS 39564-4633

Phone

(662) 251-3245

NPI assigned

Sep 7, 2023

Organization subpart

No

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

Authorized official

Name

Tina J Sullivan, LPCNPI 1760126619

Title

Owner

Phone

(662) 251-3245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

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

• Tina J Sullivan, LPC

  • Counselor
  • Ocean Springs, MS
  • NPI 1760126619

  Professional

  Medicare reassignment NPD Authorized official
• Patricia Seymour, ADTR, LCSW

  • Clinical Social Worker
  • Ocean Springs, MS
  • NPI 1649434309
  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1124804760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644633",
            "telephone_number": "662-251-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644633",
            "telephone_number": "662-251-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA J SULLIVAN COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-251-3245",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amity McDonald Thompson, ACNP BC
• Garrett Ryan Thompson, RN
• Caressa Thornton
• George M. Thurber, M.D.
• Lauren L. Timmons, DMD
• Stephanie Denise Toche, NURSE PRACTITIONER
• John S Tomsik, DDS
• Megan Danielle Tomsik, OD
• Toney Chiropractic and Wellness LLC
• Christopher Chase Toney I, D.C.

• Professional Counselor in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.