Heather Sullivan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12110 Issued in NC

Practice address

400 N Church St
Monroe, NC 28112-4804

Phone

(704) 296-9898

NPI assigned

Jan 6, 2022

Last updated

Sep 11, 2024By the provider in NPPES

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

• Union County Public Schools

  • Clinical Social Worker
  • Monroe, NC
  • NPI 1306919188

  Mental Health

  NPD
• Union County Public Schools

  • Local Education Agency (LEA)
  • Monroe, NC
  • NPI 1548327489
  NPD

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1750042313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N CHURCH ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124804",
            "telephone_number": "980-552-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N CHURCH ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124804",
            "telephone_number": "704-296-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strong Health and Wellness
• Carleigh Stroud
• Adona Christine Struve I
• Anthony Suber
• Christina Suggs, LCSWA
• Keith Sullivan
• Sunshine Station at Sardis (Early Intervention Services at Sardis)
• Superior Health Caregivers, LLC
• Superior Home Medical, Inc
• Superior Home Medical, Inc (Boutique On Main)

• Mental Health Counselor in Monroe, NC
• Providers in Monroe, 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 11, 2024; 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.