Active NPI
Lindsay Libby Sullivan
- Professional Counselor
- Allen, TX
National Provider Identifier
1386934230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64886
- Practice address
- 203 S Alma Dr
Suite 200
Allen, TX 75013-3771 - Phone
- (207) 590-6837
- NPI assigned
- Apr 12, 2011
- Last updated
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64886 | TX | Primary |
Addresses
Primary practice location
203 S Alma Dr
Suite 200
Allen, TX 75013-3771
Mailing address
203 S Alma Dr
Suite 200
Allen, TX 75013-3771
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 |
|---|---|---|---|
| 64886 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1386934230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S ALMA DR",
"address_2": "SUITE 200",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S ALMA DR",
"address_2": "SUITE 200",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133771",
"telephone_number": "207-590-6837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LINDSAY",
"middle_name": "LIBBY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.