Justine Elise Sullivan

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

7282 Stinson Ave Ste B
Gig Harbor, WA 98335-4930

Phone

(253) 858-5846

NPI assigned

Feb 15, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Alta Vista Integrated Life Services

  • Clinical Social Worker
  • Gig Harbor, WA
  • NPI 1538726252
  NPD
• Thoughtful Counseling Group

  • Mental Health Counselor
  • Puyallup, WA
  • NPI 1477213403
  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1467159897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 104TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994804",
            "telephone_number": "253-363-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 STINSON AVE STE B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983354930",
            "telephone_number": "253-858-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JUSTINE",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Walter Studerus, DDS
• Heidi Lyn Sturgeon
• Jesus Suarez, RN
• Suburban Obsyetrics and Gynecology P.S.
• Jay Cummings Sullivan, D.O.
• Kevin Jeremiah Sullivan, MD
• Preston Sullivan, MD
• Shay Sullivan, MS CF-SLP
• Bryce K Sumida, DPT
• Buena Ruiz Sumilhig, PA-C

• Counseling Psychologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.