Karen S Sullivan, MA, PLMHP, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1242 Issued in NE

Practice address

2112 W Faidley Ave
Grand Island, NE 68803-4670

Phone

(083) 398-5328

Fax

(308) 398-5404

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Infinite Avenues Counseling

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
  • NPI 1861043796
  NPD

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1861894537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 FARNAM ST STE 17",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323319",
            "telephone_number": "531-301-7817",
            "fax_number": "402-885-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034670",
            "telephone_number": "083-398-5328",
            "fax_number": "308-398-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "MA, PLMHP, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria L Stutzman, APRN
• Susana Suarez Pavon
• Shannon Louise Suhr
• Jo Ann Jeanne Sukovaty, PLMHP
• Abdirahman Suleman
• Dustin Suminski, O.D.
• Jodi Suminski
• Brandi Ann Summers
• Kylah Marie Shine Supik
• Surgery Group of Grand Island

• Addiction (Substance Use Disorder) Counselor in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.