MEDELYN YOLANDA SULLIVAN MINOR LPC
NPI 1033434584
Counselor - Professional in Saint Charles, MO

Active since March 27, 2010PECOS Enrolled
1550 WALL ST, STE. 244, SAINT CHARLES, MO 63303(314) 650-3905(314) 890-2034 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2025, Jan 5, 2024 (2 updates tracked since 2024).

About Medelyn Yolanda Sullivan Minor Lpc NPPES

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

MEDELYN YOLANDA SULLIVAN MINOR LPC (NPI 1033434584) is an individual professional provider in Saint Charles, Missouri, licensed in Missouri (2005009307) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1033434584
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMEDELYN YOLANDA SULLIVAN MINORCredential: LPC
Location Address1550 WALL ST, STE. 244Saint Charles, MO 63303-3545
Mailing AddressPo Box 190226Saint Louis, MO 63119-6226 · (314) 650-3905 · Fax (314) 890-2034
Fax(314) 890-2034
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 27, 2010
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
NPI 1033434584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2005009307
1550 WALL ST, Saint Charles, MO 63303

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Medelyn Yolanda Sullivan Minor Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436660156
PECOS Enrollment IDI20250618002260
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
1550 WALL ST, SUITE 244
SAINT CHARLES, MO 63303
Nurse Practitioner (Psychiatric/Mental Health)
1550 WALL ST
SAINT CHARLES, MO 63303
Counselor (Professional)
1550 WALL ST, SUITE 231
SAINT CHARLES, MO 63303
Counselor (Professional)
1550 WALL ST, SUITE 16C
SAINT CHARLES, MO 63303
Counselor (Professional)
1550 WALL ST, STE. 244
SAINT CHARLES, MO 63303

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 Medelyn Minor's NPI number?

The NPI number for Medelyn Minor is 1033434584. It was assigned to this individual provider in the NPPES registry on March 27, 2010.

Where is Medelyn Minor located?

Medelyn Minor practices at 1550 Wall St Ste. 244, Saint Charles, MO 63303. The listed phone number is (314) 650-3905.

What is Medelyn Minor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Medelyn Minor enrolled in Medicare?

Yes. Medelyn Minor is registered in the Medicare PECOS enrollment system.

What insurance does Medelyn Minor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Medelyn Minor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medelyn Minor was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.