Individual provider Active NPI

Terry Sullivan

  • Mental Health Counselor
  • Lexington, NE
National Provider Identifier
1902451768
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
811 N Washington St
Lexington, NE 68850-1930
Phone
(308) 746-4781
Fax
(888) 519-4014
NPI assigned
Aug 7, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 NE Primary

Addresses

Primary practice location

811 N Washington St
Lexington, NE 68850-1930

Mailing address

811 N Washington St
Lexington, NE 68850-1930
Phone (308) 746-4781

Other practice location 1

911 Newell St
Cozad, NE 69130-1942
Phone (308) 746-4781

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lexington Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1902451768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N WASHINGTON ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501930",
            "telephone_number": "308-746-4781",
            "fax_number": "888-519-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N WASHINGTON ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501930",
            "telephone_number": "308-746-4781",
            "fax_number": "888-519-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Newell St",
            "address_purpose": "LOCATION",
            "city": "Cozad",
            "state": "NE",
            "postal_code": "691301942",
            "country_code": "US",
            "telephone_number": "308-746-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lexington",
            "affiliation": "N",
            "endpointDescription": "Lexington",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Lexington",
            "address_1": "811 N Washington St",
            "city": "Lexington",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688501930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.