MARY K SULLIVAN (NPI# 1770654386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770654386 |
| Entity Type | Individual |
| Full Name | MARY K SULLIVAN |
| Credential | LPC |
| Practice Address |
212 11th St S La Crosse WI 54601-4116 |
| Mailing Address |
700 West Ave S Physician Services Dept La Crosse WI 54601-4783 |
| Practice Telephone | 6083929555 |
| Practice Fax Number | 6083929432 |
| Mailing Telephone | 6083924156 |
| Mailing Fax Number | 6083924156 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3331 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487135430 | Mary Sullivan | Registered Nurse | 2527 Hiawatha, San Antonio, TX 78210-5422 | 2018-08-28 |
| 1508315961 | Mary Sheila Sullivan | Dietitian, Registered | 16 Raymond Dr, Wilbraham, MA 01095-2606 | 2016-09-27 |
| 1073851192 | Mary Barbara Sullivan | General Practice | 1403 Wind River Dr Se, Huntsville, AL 35802-3936 | 2013-01-24 |
| 1144572546 | Mary Elizabeth Sullivan | Social Worker | 123 Garden St, Needham, MA 02492-2029 | 2012-10-09 |
| 1164784781 | Mary Sullivan | Specialist | 3 Hawthorne St, Hicksville, NY 11801-2607 | 2012-06-10 |
| 1811268980 | Mary E Sullivan | Psychologist | 901 E Hackberry Ave Rm C-204, Mcallen, TX 78501-6502 | 2012-01-22 |
| 1366756272 | Mary Kate Sullivan | Occupational Therapy Assistant | 50 Madison Rd, Dumas, AR 71639-9385 | 2010-08-03 |
| 1740592955 | Mary Elizabeth Sullivan | Social Worker | 2201 South 17th Street, Lincoln, NE 68502-2953 | 2010-07-06 |
| 1215267554 | Mary J Sullivan | Speech-Language Pathologist | 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303 | 2010-01-08 |
| 1588893564 | Mary Loraine Sullivan | Obstetrics & Gynecology | 133 W Main St # 240, El Cajon, CA 92020-3315 | 2009-07-10 |
| Street Address |
212 11TH ST S |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346621 | Jeffrey R Court | Social Worker | 212 11th St S, La Crosse, WI 54601-4116 | 2005-06-14 |
| 1376010256 | Ashley Lee Sammann | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2018-10-29 |
| 1780168765 | Courtney Mcalister | Clinical Neuropsychologist | 212 11th St S, La Crosse, WI 54601-4397 | 2018-09-17 |
| 1376026831 | Nicole Marie Sobkowiak | Counselor | 212 11th St S, La Crosse, WI 54601-4397 | 2018-09-11 |
| 1407207764 | Clare Marie Lewandowski | Psychologist | 212 11th St S, La Crosse, WI 54601 | 2016-06-28 |
| 1922461813 | Jordan Daniel Urbanek | Psychiatry & Neurology | 212 11th St S, La Crosse, WI 54601-4397 | 2016-03-30 |
| 1962861716 | Heather K Roellig | Counselor | 212 11th St S, La Crosse, WI 54601-4397 | 2016-02-22 |
| 1487037826 | Christine A Dean | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2015-07-02 |
| 1841606142 | Reka Furedi | Psychiatry & Neurology | 212 11th St S, La Crosse, WI 54601-4397 | 2014-07-08 |
| 1013328889 | Melissa Lea Thielman | Social Worker | 212 11th St S, La Crosse, WI 54601-4397 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357771 | Tania Lynne Sidiqi | Counselor | 115 5th Ave S Ste 301, La Crosse, WI 54601-4098 | 2017-03-24 |
| 1861845364 | Nancy Louise Miller | Counselor | 2920 East Avenue South, Suite 100, La Crosse, WI 54601 | 2016-07-20 |
| 1588066351 | Emily Jarrett | Counselor | 205 5th Ave S Ste 415, La Crosse, WI 54601-4059 | 2014-09-23 |
| 1548699275 | Lisa Hammes | Counselor | 115 5th Ave S Ste 507, La Crosse, WI 54601-4018 | 2013-11-04 |
| 1285981969 | Christine A Paarem Wilczewski | Counselor | 121 S. 11th Street, La Crosse, WI 54601-4116 | 2012-08-13 |
| 1992987481 | Tiffany Christine Johnson | Counselor | 600 3rd St N Ste 206, La Crosse, WI 54601-6299 | 2007-11-27 |
| 1952468936 | Allen Wagner | Counselor | 421 22nd St S, La Crosse, WI 54601-5046 | 2007-01-02 |
| 1902912744 | Michelle Sue Skau | Counselor | 300 4th Street North, La Crosse, WI 54602-4002 | 2006-08-22 |
| 1588270714 | Angela Shari Goethel | Counselor | 115 5th Ave S Ste 523, La Crosse, WI 54601-4018 | 2020-09-22 |
| 1922662451 | Leisha Nicole Lucas | Counselor | 319 Main St Ste 510, La Crosse, WI 54601-0710 | 2019-04-30 |
| Find all providers in LA CROSSE | ||||
Please comment or provide details below to improve the information on MARY K SULLIVAN.
| 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.