Eric Sullivan, LPC, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6510 Issued in SC

Practice address

5107 N Rhett Ave
Charleston, SC 29405-4219

Phone

(410) 924-4786

NPI assigned

Oct 23, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1538412804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 N RHETT AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294054219",
            "telephone_number": "410-924-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 N RHETT AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294054219",
            "telephone_number": "410-924-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ERIC",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6510",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01261511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigid Eileen Sullivan, M.D.
• Brock Allen Sullivan, MD
• Carly Michelle Sullivan, FNP
• Casey Marie Sullivan, CRNA
• Christopher Sullivan, MD, MPH
• Henson Sullivan, CAA
• Lauren Joyce Sullivan, M.D.
• Rebecca Sullivan, COTA/L
• Robert Sullivan, M.D.
• Roger Patrick Sullivan, M.D.

• Mental Health Counselor in Charleston, SC
• Providers in Charleston, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.