Sullivan Counseling Incorporated

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

001177 Issued in NY

Legal business name

SULLIVAN COUNSELING INCORPORATED

Practice address

1024 N Hamilton Ave
Lindenhurst, NY 11757-2129

Phone

(516) 662-1158

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Jaclyn Joann Sullivan, LMFTNPI 1285985325

Title

Owner

Phone

(516) 662-1158

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Joann Sullivan, MA, LMFT

  • Marriage & Family Therapist
  • Amityville, NY
  • NPI 1285985325
  NPD (past) Authorized official
• Annette Moccia, LMHC

  • Mental Health Counselor
  • Amityville, NY
  • NPI 1437737624
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1609315423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GREENE AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012943",
            "telephone_number": "516-743-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N HAMILTON AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572129",
            "telephone_number": "516-662-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN COUNSELING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-662-1158",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "001177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J. Sticco, MD
• Joulia Stoliarova
• Nicole Stoppelli, PA STUDENT
• Erica Emma Suib
• Reyhan Hannah Suleymani, D.O.
• Dianna Sullivan, NP
• Meagan M Sullivan
• Suzanne Sullivan, LPN
• Sunrise ENT PC
• Tetyana Sushchak, PA

• Exclusive Provider Organization in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.