Kathyrn Sullivan, LPC
Counselor, Professional in Overland Park, KS. Individual provider (NPI-1).
NPI number1003365693
StatusActive
Last updated in NPPESSep 24, 2016
Details
- NPI
- 1003365693
- Entity type
- Individual (NPI-1)
- Name
- Kathyrn Sullivan
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2016
- Last updated
- Sep 24, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2764 | KS | Yes |
Practice location
11030 Oakmont StSuite 200a
Overland Park, KS 66210-1100
Phone 913-274-9204 · Fax 913-871-3133
Mailing address
11030 Oakmont StSuite 200a
Overland Park, KS 66210-1100
Phone 913-274-9204 · Fax 913-871-3133
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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