Amy Sullivan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1824 Murdoch Ave
Parkersburg, WV 26101-3230

Phone

(304) 916-1881

NPI assigned

Oct 10, 2015

Last updated

Jul 10, 2023By the provider in NPPES

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 WV

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St. Joseph Recovery Center, LLCGroup PAC ID 0042548000, 12 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Joseph Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Parkersburg, WV
  • NPI 1174021406
  Medicare reassignment Care Compare group NPD
• Grace Medical Group, LLC

  • Family Nurse Practitioner
  • Parkersburg, WV
  • NPI 1376172494
  NPD (past)

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

{
    "created_epoch": "1444435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1417328915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-916-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MURDOCH AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013230",
            "telephone_number": "304-916-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Sturm
• Tori Megan Stutler, LPN
• Wendy Stutler
• Leah Beth Suggs
• Jeanine Michele Suits
• Jessica L Sullivan, DPT
• Kristina L Sullivan, CRNA
• Lisa Sullivan
• Michael Patrick Sullivan
• Miklynn Raeanne Pearl Sullivan

• Mental Health Counselor in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.