Charalda Monique Sullen, MA, PLPC, MHP, MST

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7643 Issued in LA

Practice address

3604 Canal St
New Orleans, LA 70119

Phone

(504) 822-4333

NPI assigned

Jan 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Healthy Avenues Medical Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1659093847
  NPD (past)

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1528575990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 GLENBROOK DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567912",
            "telephone_number": "504-261-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-822-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLEN",
        "first_name": "CHARALDA",
        "middle_name": "MONIQUE",
        "credential": "MA, PLPC,  MHP, MST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-06",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Brian Sugalski, MD
• Kavin Sugumar, M.B.B.S., M. SURG
• Sui Generis Sanctum Sanctoris
• Elizabeth A Suitt, CPSS
• Olawale A. R. Sulaiman, MD, PHD
• Redondra Sullen
• Beth Carriere Sullivan, FNP
• Brandy Heather Sullivan, MD, MPH
• Caitlin Marie Sullivan, MD, MS
• Campbell Kathryn Sullivan, OTR/L

• Professional Counselor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.