SUSAN GRIFFIN SULLIVAN (NPI# 1760755524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755524 |
| Entity Type | Individual |
| Full Name | SUSAN GRIFFIN SULLIVAN |
| Credential | MA, LPC |
| Practice Address |
672 Wyndham Crossings Cir Des Peres MO 63131-2149 |
| Practice Telephone | 3149733378 |
| Mailing Telephone | 3149733378 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CS001945 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679900757 | Susan M Sullivan | Nurse Practitioner | 621 S New Ballas Rd Ste 228a, Saint Louis, MO 63141-8256 | 2013-10-03 |
| 1124382700 | Susan M Sullivan | Massage Therapist | 8655 Main St, Williamsville, NY 14221-7501 | 2012-06-28 |
| 1598031999 | Susan Kathleen Sullivan | Case Manager/Care Coordinator | 3123 Catrina Ln, Annapolis, MD 21403-4340 | 2012-03-29 |
| 1871882761 | Susan Lea Sullivan | Lactation Consultant, Non-RN | 6421 Lakewind Cir, Parker, CO 80134 | 2011-03-31 |
| 1366758286 | Susan Carol Sullivan | Marriage & Family Therapist | 4760 Sepulveda Boulevard, Culver City, CA 90230-4820 | 2010-08-30 |
| 1861698144 | Susan Huber Sullivan | Counselor | 407 W Warren St, Shelby, NC 28150-5329 | 2007-06-25 |
| 1427171214 | Susan Emma Sullivan | Developmental Therapist | 210 South Market, Bondville, IL 61815-0133 | 2007-04-09 |
| 1144359746 | Susan B Sullivan | Pharmacist | 9501 E Shea Blvd # Mc139, Scottsdale, AZ 85260-6719 | 2007-03-02 |
| 1144315607 | Susan Elizabeth Sullivan | Psychologist | 13 Welby Road, Suite 2, New Bedford, MA 02745-1132 | 2006-10-03 |
| 1407457641 | Susan Michele Sullivan | Pharmacist | 1600 W Main St, Walnut Ridge, AR 72476-9401 | 2020-11-04 |
| Street Address |
672 WYNDHAM CROSSINGS CIR |
| City | DES PERES |
| State | MO |
| Zip Code | 63131-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558668426 | Brian C Chapin | Counselor | 12813 Flushing Meadows Drive, Suite 140, Des Peres, MO 63131 | 2011-02-11 |
| 1528364163 | Tracy Birkinbine | Counselor | 12015 Manchester Rd, Suite 182, Des Peres, MO 63131-4423 | 2011-01-30 |
| 1770895435 | Stephanie Costley Hedgecock | Counselor | 12015 Manchester Rd, Suite 155, Des Peres, MO 63131-4423 | 2010-07-10 |
| 1558505099 | Rosalie Marie Duvall | Counselor | 12015 Manchester Rd, Suite 102, Des Peres, MO 63131-4423 | 2009-04-28 |
| 1265644611 | Stephen Lee Knubley | Counselor | 12813 Flushing Meadows Dr, Suite 140, Des Peres, MO 63131-1835 | 2007-05-05 |
| 1871718411 | Chesterfield Counseling & Training Associates Inc. | Counselor | 12813 Flushing Meadows Dr, Suite 140, Des Peres, MO 63131-1835 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1225637838 | Summer Lynn Mcgowan | Counselor | 12040 Southern Breeze, Dexter, MO 63841-2890 | 2020-10-23 |
| 1578162434 | Laquesha Boston | Counselor | 14463 Gravelle Ln, Florissant, MO 63034-2209 | 2020-10-21 |
| 1013515725 | Tim Gravier | Counselor | 770 Aramis Dr, Creve Coeur, MO 63141-7309 | 2020-10-14 |
| 1790383651 | Oasis Counseling and Enrichment | Counselor | 201 Main St Ste 9, Parkville, MO 64152-3645 | 2020-10-13 |
| 1912505082 | Rebekah Sue Weidenaar | Counselor | 503 W Reed St, Moberly, MO 65270-1509 | 2020-10-12 |
| 1407454580 | Ruth A Stoan | Counselor | 1308 W Waldo Ave, Independence, MO 64050-2544 | 2020-10-12 |
| 1679170971 | Avery C Lough | Counselor | 627 E Springfield St, Saint James, MO 65559-1655 | 2020-10-08 |
| 1245837921 | Wendy Velicer | Counselor | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-10-06 |
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.