Kelly Marie Sullivan

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014887 Issued in PA

Practice address

300 Liberty St
Franklin, PA 16323-1053

Phone

(814) 437-5770

Fax

(814) 432-6688

NPI assigned

May 21, 2020

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

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paoletta Counseling Services, IncGroup PAC ID 4486628450, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Paoletta Counseling Services, Inc

  • Clinic/Center
  • Mercer, PA
  • NPI 1508801887

  Mental Health

  Medicare reassignment Care Compare group NPD
• Paoletta Counseling Services, Inc

  • Clinic/Center
  • Franklin, PA
  • NPI 1568595486

  Mental Health

  NPD

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1972126233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LIBERTY ST",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163231053",
            "telephone_number": "814-437-5770",
            "fax_number": "814-432-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LIBERTY ST",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163231053",
            "telephone_number": "814-437-5770",
            "fax_number": "814-432-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Stevenson
• Darla Jean Stoughton, LPC
• William Henry Straub, MD
• Sugar Valley Lodge Inc
• Sugarcreek Station
• Matthew Charles Sutley
• Julia Sweeney, PA-C
• Donald G. Sweitzer, RN
• Hassan Taan, M.D.
• Emily Taylor

• Professional Counselor in Franklin, PA
• Providers in Franklin, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.