Sarah Jo Sullivan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

7777 S Lewis Ave
Tulsa, OK 74171-0003

Phone

(918) 495-6161

NPI assigned

May 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Choose Courage Counseling Services PLLC

  • Clinical Social Worker
  • Broken Arrow, OK
  • NPI 1528631314
  Medicare reassignment NPD

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

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1326614439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741710003",
            "telephone_number": "918-495-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741710003",
            "telephone_number": "918-495-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Sullivan, B.A.
• Laura Anne Sullivan, LPC
• Natanya Sullivan
• Sally Marie Sullivan, MA, LPC
• Samantha Jo Sullivan, PT, DPT
• Susan Katharine Sullivan
• Sydney Sullivan
• Theresa Marie Sulzen, MS
• Alicia J Sumlin
• Cassandra Lynne Summerlin

• Marriage & Family Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.