David Lynn Sullivan, LADC PLMHP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1252 Issued in NE

Practice address

1620 S 70TH St
Lincoln, NE 68506-1563

Phone

(402) 202-9342

NPI assigned

May 21, 2018

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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.

• David Sullivan Ladc Limhp LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
  • NPI 1780168344
  NPD Authorized official

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1275024697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 S 39TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063234",
            "telephone_number": "402-202-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061563",
            "telephone_number": "402-202-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "credential": "LADC PLMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11360",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Sullivan, LMHP, CMSW
• Christopher Sullivan, DDS
• Connor Sullivan, MSW, PLMHP, PCMSW
• Courtney Michelle Sullivan
• Dan Sullivan, D.C.
• Emily Sullivan, DO
• Erica J.W. Sullivan, M.A. LIMHP CPC LADC
• Erin Sullivan, RDLMNT
• Gabrielle Elizabeth Sullivan, LICSW
• James Allen Sullivan, OTD, OTRL

• Addiction (Substance Use Disorder) Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.