Active NPI
Kristie Kaye Sullivan, LMFTA
- Marriage & Family Therapist
- Wake Forest, NC
National Provider Identifier
1487564274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 21212A
- Practice address
- 515 Rice Cir
Wake Forest, NC 27587-2516 - Phone
- (575) 363-6320
- NPI assigned
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 21212A | NC | Primary |
Addresses
Primary practice location
515 Rice Cir
Wake Forest, NC 27587-2516
Mailing address
515 Rice Cir
Wake Forest, NC 27587-2516
Phone (575) 363-6320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1487564274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 RICE CIR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872516",
"telephone_number": "575-363-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 RICE CIR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872516",
"telephone_number": "575-363-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "KRISTIE",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "LMFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "21212A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.