Nechemyah Donte'-Devon Sullivan, LPC, NCC, ECMHC, CPS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC007137 Issued in GA

Practice address

315 14TH St NW
Atlanta, GA 30318-5305

Phone

(404) 691-8880

NPI assigned

Jan 15, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Naesm, Inc.

  • Public Health or Welfare Agency
  • Atlanta, GA
  • NPI 1033826813
  NPD
• Total Life Care Center

  • Clinic/Center
  • Atlanta, GA
  • NPI 1477334738
  NPD

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1487985487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 14TH ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185305",
            "telephone_number": "404-691-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 14TH ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185305",
            "telephone_number": "404-691-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "NECHEMYAH",
        "middle_name": "DONTE'-DEVON",
        "credential": "LPC, NCC, ECMHC, CPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3047",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Paige Sullivan, LCSW
• Mallory Breanna Sullivan
• Martin Anthony Sullivan, DC
• Mary Helen Sullivan, MSN, FNP-C
• Natalie Sullivan, MD
• Patrick Sean Sullivan, DVM
• Patrick Sean Sullivan, M.D.
• Sarah Russell Sullivan, NP
• Shannon Oliver Sullivan, LPC, CPCS
• Michael Eric Suls, D.O., M.P.H.

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.