Sean H Sullivan, M.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10000529 Issued in MA

Practice address

258 Main St Ste C3
Buzzards Bay, MA 02532-3253

Phone

(508) 333-1375

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Sagamore Counseling

  • Professional Counselor
  • Sagamore Beach, MA
  • NPI 1952943284
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1457452807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MAIN ST STE C3",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323253",
            "telephone_number": "508-333-1375",
            "fax_number": "507-445-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST STE C3",
            "city": "BUZZARDS BAY",
            "state": "MA",
            "postal_code": "025323253",
            "telephone_number": "508-333-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Water St",
            "address_2": "Suite B-236",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604060",
            "country_code": "US",
            "telephone_number": "508-747-6302",
            "fax_number": "508-747-6304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SEAN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah St. James, MS OTR/L
• Steven Wayne Stanley, OTR/L
• Jodi L Stapler, BSED, CP
• Justin Starvish, DC
• Stephanie Stolar
• Jennifer Tellier
• TLC Private Home Care Inc
• Town of Bourne
• Keith Aaron Townley, BS,BA
• Kelly Turner, M.S. CCC-SLP

• Mental Health Counselor in Buzzards Bay, MA
• Providers in Buzzards Bay, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.