Jaclyn Sullivan, MA COUNSELING

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20348

Practice address

2202 Wrightsville Ave Ste 111
Wilmington, NC 28403-3052

Phone

(910) 408-2302

NPI assigned

Aug 1, 2024

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

Credentials

Master of Arts

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.

• Wellness Without Walls

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1235935248
  NPD

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1598594012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 PARK AVE STE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036737",
            "telephone_number": "910-240-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WRIGHTSVILLE AVE STE 111",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033052",
            "telephone_number": "910-408-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JACLYN",
        "credential": "MA COUNSELING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "A20348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Bullard Suggs, LCSW
• Jaime Lauren Suggs, MA, LPA
• Daphne Caroline Suits, LCMHCA
• Jordan Zachary Suits, LCSWA
• Emily Sullivan
• Jesse Danielle Sullivan, MSW, LCSWA
• Laura Rose Sullivan
• Michael Durgin Sullivan, M.D.
• Riley Sullivan
• Tristan Colby Sullivan

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.