Individual provider Active NPI

Meggan Sullivan, LCSW

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1912338526
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW-13529 Issued in AZ
Practice address
5050 N 8TH PL Ste 8
Phoenix, AZ 85014-3203
Phone
(602) 285-9696
Fax
(602) 277-5930
NPI assigned
Dec 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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 LCSW-13529 AZ Primary

Addresses

Primary practice location

5050 N 8TH PL Ste 8
Phoenix, AZ 85014-3203

Mailing address

5050 N 8TH PL Ste 8
Phoenix, AZ 85014-3203
Phone (602) 285-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140429000003 AZ Practitioner - Clinical Social Worker 7517190531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Alzheimers InstituteGroup PAC ID 8527070101, 30 clinicians

Practice addresses (Care Compare)

901 E Willetta St
1St Floor
Phoenix, AZ 85006-2727
Phone (602) 839-6901

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
71.03
Promoting interoperability
99
Improvement activities
40
Cost
80.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-13529AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Alzheimer's Institute CurrentSince Jul 17, 2024 Accepting new patients
Banner Alzheimer's Institute CurrentSince Jul 17, 2024 Accepting new patients

Locations

901 E Willetta St
Fl 1
Phoenix, AZ 85006
Phone (602) 839-6901

901 E Willetta St
Fl 3
Phoenix, AZ 85006
Phone (602) 239-6900

10515 W Santa Fe Dr
Bldg B
Sun City, AZ 85351
Phone (623) 832-6500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1912338526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N 8TH PL STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143203",
            "telephone_number": "602-285-9696",
            "fax_number": "602-277-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N 8TH PL STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143203",
            "telephone_number": "602-285-9696",
            "fax_number": "602-277-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-13529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.