Jennifer Sullivan

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCSW-1042 Issued in WY

Practice address

2345 E 2ND St
Casper, WY 82609-2048

Phone

(307) 233-2200

NPI assigned

Oct 17, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376947580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092048",
            "telephone_number": "307-233-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092048",
            "telephone_number": "307-233-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Wilkins Cir",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826011336",
            "country_code": "US",
            "telephone_number": "307-237-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "PCSW-560",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LCSW-1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith P Stultz
• Nicole Stutte, PT
• Ella Louise Sucher
• Tisa Sucher, LCSW
• Daniel J Sullivan, MD
• Teneil Rachelle Sullivan, R.N.
• Daniel Fridolin Sulser, MD
• Ahmad Billal Sultani, M.D.
• Summit Home Health Care
• Summit Medical Center, LLC

• Professional Counselor in Casper, WY
• Providers in Casper, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.