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SULLIVAN MENTAL HEALTH SERVICES LLC
NPI 1003101577
Clinic/Center - Adult Mental Health in Idaho Falls, ID

Active since June 13, 2011
660 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 523-1558(208) 529-4788 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sullivan Mental Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN MENTAL HEALTH SERVICES LLC (NPI 1003101577) is a healthcare organization registered as an adult mental health in Idaho Falls, Idaho and active in the NPI registry since June 2011. The organization lists Jessie Elaine Sullivan, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1003101577
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSULLIVAN MENTAL HEALTH SERVICES LLC
Location Address660 S WOODRUFF AVEIdaho Falls, ID 83401-5299
Mailing Address660 S Woodruff AveIdaho Falls, ID 83401-5299 · (208) 523-1558 · Fax (208) 529-4788
Phone(208) 523-1558
Fax(208) 529-4788
Organization SubpartNo
Authorized OfficialJessie Elaine SullivanOwner/therapist · (208) 523-1558
Enumeration DateJune 13, 2011
Last NPPES UpdateNovember 30, 2011
✔ NPI 1003101577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
660 S WOODRUFF AVE, Idaho Falls, ID 83401
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSIE ELAINE SULLIVAN LCPC,LMFT
Counselor (Mental Health)
660 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-1558
MRS. LISA LA'REE KISHIYAMA LMSW
Counselor (Professional)
660 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 523-1558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan Mental Health Services LLC's NPI number?

The NPI number for Sullivan Mental Health Services LLC is 1003101577. It was assigned to this organization in the NPPES registry on June 13, 2011.

Where is Sullivan Mental Health Services LLC located?

Sullivan Mental Health Services LLC is located at 660 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 523-1558.

What is Sullivan Mental Health Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Sullivan Mental Health Services LLC was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.