Active NPI
Michael Sullivan
- Mental Health Counselor
- Irving, TX
National Provider Identifier
1295600997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 100342
- Practice address
- 580 Decker Dr Ste 260
Irving, TX 75062-2306 - Phone
- (214) 679-2553
- NPI assigned
- Oct 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 100342 | TX | Primary |
Addresses
Primary practice location
580 Decker Dr Ste 260
Irving, TX 75062-2306
Mailing address
9240 Cypress Waters Blvd Apt 306
Coppell, TX 75019-5085
Phone (214) 679-2553
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100342 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1295600997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9240 CYPRESS WATERS BLVD APT 306",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195085",
"telephone_number": "214-679-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 DECKER DR STE 260",
"city": "IRVING",
"state": "TX",
"postal_code": "750622306",
"telephone_number": "214-679-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-10",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "100342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.