Stephanie Gema Sullivan, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGPC00906 Issued in DC

Practice address

1627 K St NW Ste 400
Washington, DC 20006-1711

Phone

(202) 838-6938

NPI assigned

May 11, 2021

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

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.

• Redefine, PLLC

  • Mental Health Counselor
  • Washington, DC
  • NPI 1225927312
  NPD Authorized official

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1528642907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 THORNTON WAY APT 213",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144423",
            "telephone_number": "202-415-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 K ST NW STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061711",
            "telephone_number": "202-838-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "STEPHANIE",
        "middle_name": "GEMA",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC00906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Louise Sullivan, NP
• Richard Louis Sullivan
• Sarah Catherine Sullivan, LICSW, LCSW-C
• Shannon Danielle Sullivan, M.D.
• Sharyn Kathleen Sullivan, CNS
• Wilhelmina A Sullivan
• William Francis Sullivan, MD
• Daniel P Sulmasy, MD
• Ali Sultan, DMD
• Kemeria Imamu Sultan

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.