Individual provider Active NPI

Michelle Sullivan, LPC

  • Professional Counselor
  • Madison, TN
National Provider Identifier
1275963464
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
601 W Due West Ave
Madison, TN 37115-4423
Phone
(615) 227-3000
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

601 W Due West Ave
Madison, TN 37115-4423

Mailing address

2711 Foster Ave
Nashville, TN 37210-5307
Phone (615) 227-3000

Other practice location 1

2410 Charlotte Ave
Nashville, TN 37203-1517
Phone (615) 321-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240109003762 TN Practitioner - Mental Health Counselor 3476909995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 W Due W Ave
Madison, TN 37115-4423
Phone (615) 227-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Neighborhood Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
United Neighborhood Health Services, Inc Current Accepting new patients
United Neighborhood Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Wellness Ambulatory Care Inc. Past Accepting new patients

Locations

601 W Due West Ave
Madison, TN 37115
Phone (615) 335-5194

2711 Foster Ave
Nashville, TN 37210
Phone (615) 620-8647

905 Main St
Nashville, TN 37206

617 S 8th St
Nashville, TN 37206
Phone (615) 226-1695

Interoperability endpoints

  • Direct secure messaging: michelle.sullivanlpcmhsp.p1@direct.neighborhoodhealthtn.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1275963464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FOSTER AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105307",
            "telephone_number": "615-227-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W DUE WEST AVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154423",
            "telephone_number": "615-227-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Charlotte Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031517",
            "country_code": "US",
            "telephone_number": "615-321-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.