Mary Sullivan Gilbert, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14156 Issued in TX

Practice address

212 Conroe Dr
Conroe, TX 77301-1950

Phone

(936) 444-3546

Fax

(936) 760-9101

NPI assigned

Aug 9, 2011

Last updated

Aug 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Apr 22, 2024 through Apr 22, 2028

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Center of Montgomery County

  • Professional Counselor
  • Conroe, TX
  • NPI 1841586377
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1699054684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CONROE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011950",
            "telephone_number": "936-444-3546",
            "fax_number": "936-760-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CONROE DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011950",
            "telephone_number": "936-444-3546",
            "fax_number": "936-760-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN GILBERT",
        "first_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Su
• William A Suber, LPC, LCDC, ADC III
• Aishah Jehad Suleiman, MD
• Lauri Catherine Sulewski, LPC-A
• Sullivan Development and Activity Center, Inc.
• Sullivan Help Center Corporation
• Sarib Mohammad Sultan
• Cordigan Summers, DO
• Celia Holgado Sumodobila
• Jianhong NA Sun, ADN

• Professional Counselor in Conroe, TX
• Providers in Conroe, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.