MARY KATHLEEN SULLIVAN (NPI# 1982140893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982140893 |
| Entity Type | Individual |
| Full Name | MARY KATHLEEN SULLIVAN |
| Other Name | KATE SULLIVAN |
| Credential | M.A. |
| Practice Address |
309 Oak St Kelso WA 98626-2340 |
| Mailing Address |
Po Box 1077 Kelso WA 98626-0111 |
| Practice Telephone | 3605777442 |
| Practice Fax Number | 3605777904 |
| Mailing Telephone | 3605777442 |
| Mailing Fax Number | 3605777904 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CG 60673859 | WA | 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 |
309 OAK ST |
| City | KELSO |
| State | WA |
| Zip Code | 98626-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134373574 | C & R Executives, LLC | Clinic/Center | 309 Oak St, Kelso, WA 98626-2340 | 2008-11-12 |
| 1861977936 | Shannon Dwayne Kretz | Counselor | 309 Oak St, Kelso, WA 98626-2340 | 2018-09-25 |
| 1780054197 | Paul Allen Welk | Counselor | 309 Oak St, Kelso, WA 98626-2340 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730581877 | Wrothell Funchess | Counselor | 1645 Bowmont Ave, Kelso, WA 98626 | 2014-09-19 |
| 1427457688 | Julie Dalen | Counselor | 309 Oak Street, Kelso, WA 98626 | 2014-08-13 |
| 1033468822 | Rene Kerry Bohannon-oxford | Counselor | 2707 Pacific Ave North, Kelso, WA 98626 | 2012-09-07 |
| 1447535737 | Nichole Kathleen Allee | Massage Therapist | 109 Nw 1st St., Kelso, WA 98626 | 2011-10-18 |
| 1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
| 1508007071 | Robert Lee Blair | Registered Nurse | 119 Blackburn Lane, Kalama, WA 98626 | 2009-03-13 |
| 1942318829 | Imholte & Anderson Pllc | Dentist | 409 West Main Street, Kelso, WA 98626 | 2006-08-29 |
| 1922088723 | James Bevan Hollingsworth | Pharmacist | 204 S Pacific Ave, Kelso, WA 98626 | 2006-01-18 |
| 1972021087 | Adreia Jenice Jessop | Registered Nurse | 300 Oak St, Kelso, WA 98626 | 2017-09-08 |
| 1023567310 | Charlene Han | Pharmacist | 205 Three Rivers Dr, Kelso, WA 98626 | 2016-09-27 |
| Find all providers in zip 98626 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656721 | Angelee Amber Berrian | Counselor | 305 Pacific Ave N, Suite 102, Kelso, WA 98626-3417 | 2020-07-10 |
| 1497399398 | Jody Marie Richter | Counselor | 351 Three Rivers Dr Ste 49, Kelso, WA 98626-3129 | 2019-11-04 |
| 1104301225 | Amy Lomax | Counselor | 214 Pacific Ave N, Kelso, WA 98626-3414 | 2018-09-25 |
| 1053828996 | Jessica Lynne Meyer | Counselor | 4 Stone Hill Dr, Kelso, TN 37348-1000 | 2018-01-01 |
| 1730581877 | Wrothell Funchess | Counselor | 1645 Bowmont Ave, Kelso, WA 98626 | 2014-09-19 |
| 1427457688 | Julie Dalen | Counselor | 309 Oak Street, Kelso, WA 98626 | 2014-08-13 |
| 1811188972 | Melissa Heilman | Counselor | 1005 N 4th Ave, Kelso, WA 98626-4229 | 2007-08-05 |
| 1932718517 | Selah Sheba Mitchell | Counselor | 305 Pacific Ave S Ste 102, Kelso, WA 98626-1638 | 2020-07-29 |
| 1275155889 | Sophia Kate Coletti | Counselor | 305 Pacific Ave S, Kelso, WA 98626-1638 | 2020-05-18 |
| 1881245579 | Joey Adam Wardell | Counselor | 404 W Main St, Kelso, WA 98626-1118 | 2019-09-24 |
| Find all providers in KELSO | ||||
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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.