Individual provider Active NPI

Bridgett F Sullivan, PC

  • Professional Counselor
  • Florence, KY
National Provider Identifier
1194025379
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0007918 Issued in OH
Practice address
8275 Ewing Blvd
Florence, KY 41042-7535
Phone
(859) 525-3200
Fax
(859) 525-3209
NPI assigned
Oct 22, 2010
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0007918 OH Primary
Professional Counselor 101YP2500X KY0469 KY

Addresses

Primary practice location

8275 Ewing Blvd
Florence, KY 41042-7535

Mailing address

801 W 8TH St
Building a Suite 200
Cincinnati, OH 45203-1601
Phone (859) 525-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240730002117 OH Practitioner - Mental Health Counselor 8729525589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians
Neuropsych Center of Greater Cincinnati LLCGroup PAC ID 2567754815, 17 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

4015 Executive Park Dr
Suite 320
Cincinnati, OH 45241-4015
Phone (513) 563-0488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY0469KYMDProfessional Counselor
E0007918OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsych Center of Greater Cincinnati LLC CurrentSince Dec 8, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Dec 30, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Nov 8, 2025 Accepting new patients
Neuropsych Center of Greater Cincinnati LLC CurrentSince Jul 1, 2024 Accepting new patients
Family Nurturing Center of Kentucky Past Accepting new patients
Neuropsych Center of Greater Cincinnati Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4015 Executive Park Dr
Ste 250
Cincinnati, OH 45241
Phone (513) 563-0488

4015 Executive Park Dr
Ste 320
Cincinnati, OH 45241
Phone (513) 563-0488

431 Ohio Pike
Ste 103
Cincinnati, OH 45255
Phone (513) 563-0488

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1194025379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 8TH ST",
            "address_2": "BUILDING A SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031601",
            "telephone_number": "859-525-3500",
            "fax_number": "859-525-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 EWING BLVD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410427535",
            "telephone_number": "859-525-3200",
            "fax_number": "859-525-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRIDGETT",
        "middle_name": "F",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0007918",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY0469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.