Individual provider Active NPI

Brittany Marie Sulu, LIMHP, LADC

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1760066070
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1577 Issued in NE
Practice address
3710 Central Ave Ste 9
Kearney, NE 68847-8126
Phone
(308) 251-2222
Fax
(308) 251-2232
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1577 NE Primary

Addresses

Primary practice location

3710 Central Ave Ste 9
Kearney, NE 68847-8126

Mailing address

3710 Central Ave Ste 9
Kearney, NE 68847-8126
Phone (308) 251-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814003824 NE Practitioner - Mental Health Counselor 8224576863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

412 W 42ND St
Kearney, NE 68845-2401
Phone (308) 251-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1577NEMDSpeech-Language Pathologist
1360NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sulu Counseling LLC Mental Health CurrentSince Apr 20, 2024 Accepting new patients

Locations

3710 Central Ave
Ste 9
Kearney, NE 68847
Phone (308) 251-2222

5308 Parklane Dr
Ste 5
Kearney, NE 68847
Phone (308) 251-2222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1760066070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 CENTRAL AVE STE 9",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478126",
            "telephone_number": "308-251-2222",
            "fax_number": "308-251-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CENTRAL AVE STE 9",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478126",
            "telephone_number": "308-251-2222",
            "fax_number": "308-251-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULU",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "credential": "LIMHP, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.