Individual provider Active NPI

Andrew Bradford Sullivan, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Murfreesboro, TN
National Provider Identifier
1982419636
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1744 Issued in TN
Practice address
208 Uptown SQ
Murfreesboro, TN 37129-0573
Phone
(931) 486-8670
Fax
(615) 796-6911
NPI assigned
Feb 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1744 TN Primary

Addresses

Primary practice location

208 Uptown SQ
Murfreesboro, TN 37129-0573

Mailing address

208 Uptown SQ
Murfreesboro, TN 37129-0573
Phone (931) 486-8670

Other practice location 1

5511 Virginia Way Ste 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260618002908 TN Practitioner - Mental Health Counselor 6103398300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5511 Virginia Way
Suite 300
Brentwood, TN 37027-7611

6405 Brownlee Dr
Nashville, TN 37205-3148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1744TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
National Addiction Specialists LLC CurrentSince May 15, 2026 Accepting new patients
Depriest Center CurrentSince Feb 23, 2025 Accepting new patients

Locations

5511 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 692-1560

208 Uptown Sq
Murfreesboro, TN 37129
Phone (931) 486-8670

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1982419636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290573",
            "telephone_number": "931-486-8670",
            "fax_number": "615-796-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290573",
            "telephone_number": "931-486-8670",
            "fax_number": "615-796-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5511 Virginia Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277611",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANDREW",
        "middle_name": "BRADFORD",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.