Sally Marie Sullivan, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12237 Issued in OK

Practice address

3150 E 41St St Ste 108a
Tulsa, OK 74105-3739

Phone

(918) 216-2605

Fax

(918) 216-2606

NPI assigned

Jan 14, 2026

Last updated

Mar 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abundant Life Whole Person Wellness LLC

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1639028996
  NPD Authorized official

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1154289593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 OAK TIMBER DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741312654",
            "telephone_number": "918-216-2605",
            "fax_number": "918-216-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E 41ST ST STE 108A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053739",
            "telephone_number": "918-216-2605",
            "fax_number": "918-216-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SALLY",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "12237",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "12237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Sullivan, BA
• Julia Sullivan
• Kimberly Sue Sullivan, B.A.
• Laura Anne Sullivan, LPC
• Natanya Sullivan
• Samantha Jo Sullivan, PT, DPT
• Sarah Jo Sullivan
• Susan Katharine Sullivan
• Sydney Sullivan
• Theresa Marie Sulzen, MS

• Mental Health Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.