Individual provider Active NPI

Margaret Sunny Sullivan-Fullerton, LPC

  • Professional Counselor
  • Rockaway, NJ
National Provider Identifier
1205434214
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00671000 Issued in NJ
Practice address
63 Rockwood Dr
Rockaway, NJ 07866-4152
Phone
(201) 317-3406
NPI assigned
Oct 12, 2020
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00671000 NJ Primary

Addresses

Primary practice location

63 Rockwood Dr
Rockaway, NJ 07866-4152

Mailing address

63 Rockwood Dr
Rockaway, NJ 07866-4152

Other identifiers 1

IdentifierTypeStateIssuer
37PC00671000OtherNJNEW JERSEY STATE COUNSELING BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Msullivanfullerton@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00671000NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1205434214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ROCKWOOD DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ROCKWOOD DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078664152",
            "telephone_number": "201-317-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-FULLERTON",
        "first_name": "MARGARET",
        "middle_name": "SUNNY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00671000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE COUNSELING BOARD",
            "identifier": "37PC00671000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Msullivanfullerton@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Computer",
            "address_1": "63 Rockwood Dr",
            "city": "Rockaway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078664152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.