Linda Marie Sullivan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

11870 Pierce St Ste 150
Riverside, CA 92505-6600

Phone

(909) 557-6574

Fax

(909) 363-9202

NPI assigned

Jul 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Spring to Autumn Family Counseling, Inc.

  • Marriage & Family Therapist
  • Redlands, CA
  • NPI 1689056442
  Medicare reassignment NPD

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1154167674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W PARK AVE # 7461",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738111",
            "telephone_number": "909-557-6574",
            "fax_number": "909-363-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 PIERCE ST STE 150",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925056600",
            "telephone_number": "909-557-6574",
            "fax_number": "909-363-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2068 Orange Tree Ln Ste 216",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923744555",
            "country_code": "US",
            "telephone_number": "909-557-6574",
            "fax_number": "909-363-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lawrence Suiter, PH.D., PSY.D.
• Riley Suitor
• Kellie Rose Sukkar
• Alana Dominique Suleiman
• David Steven Sulis, CPO
• Lynnette Navarro Sullivan
• Stephanie Sully
• Ryan Sulman
• Brendan Sultan
• Hajera Sultana, M.D.

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.