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Colleen Anne Sullivan , MED LMHC

Counselor - Professional β€’ Key West, FL

Active NPI 1013100429 Individual Practitioner Female Practitioner
Practice location in NPPES

1217 White St, Suite 201
Key West, FL 330403367

Call 3054977335 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1217 White St
Suite 201

Key West, FL 330403367

Telephone 3054977335
Organization at the Same NPPES Address or Phone
Lieske Chiropractic Pllc Facility NPI 1063874246

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Marathon, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Key West and Florida

3 active clinicians are listed under Counselor - Professional with a practice address in Key West, FL (869 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES FL MH13982
Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

3000 41st Street Ocean

Marathon, FL 330502373

Phone: 3054347660

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 23, 2019

Registered at 1217 WHITE ST, SUITE 201, KEY WEST, FL 330403367 (Tel: 3054977335)

πŸ“
Updated Business Mailing Address June 23, 2019

Registered at 4 BLUE WATER DR, KEY WEST, FL 330406103 (Tel: 7866596571)

βœ…
NPI Profile Active June 15, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 15, 2016

Registered at 3000 41ST STREET OCEAN, MARATHON, FL 330502373 (Tel: 3054347660)

πŸ“
Business Mailing Address (Initial Record) June 15, 2016

Registered at 3000 41ST STREET OCEAN, MARATHON, FL 330502373 (Tel: 3054347660)

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2016

Recorded as COLLEEN SULLIVAN, M.ED LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2016

Counselor

🟒
Initial NPI Registration & Enumeration August 20, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013100429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2007
Last Update: June 23, 2019
Sole Proprietor: No

Mailing Address

4 Blue Water Dr

Key West, FL 330406103

Phone: 7866596571

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.