Mariah Wynne Beck Sullivan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2149 Centennial PLZ Ste 4
Eugene, OR 97401-2456

Phone

(541) 741-7107

Fax

(541) 687-9279

NPI assigned

Feb 9, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Addiction Counseling and Education Services Inc.

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1780712851
  NPD
• Vancouver Counseling Solutions LLC

  • Mental Health Counselor
  • Mulino, OR
  • NPI 1699377648
  NPD (past)

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1174115398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78A CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013082",
            "telephone_number": "541-393-0777",
            "fax_number": "541-687-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 CENTENNIAL PLZ STE 4",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012456",
            "telephone_number": "541-741-7107",
            "fax_number": "541-687-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARIAH WYNNE",
        "middle_name": "BECK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2022-06-03",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amalia Sullivan, LCSW
• Eric M Sullivan, MD
• Kathy J. Sullivan, L.C.S.W.
• Kaylee Sullivan, RBAI
• Kelley Sullivan
• Nina Noella Sullivan, LMT
• Ashton Sulzer, LMT
• Keith D Sumey, MD
• Kimberly Anne Summerhays, LPC, QMHP
• Myranda Chantel Summers

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.