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SHANNON NICOLE SULLLIVAN CDCA
NPI 1063181006
Counselor - Addiction (Substance Use Disorder) in Xenia, OH

Active since September 13, 2021
515 MARTIN DR, XENIA, OH 45385(937) 562-2400 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Nicole Sulllivan Cdca NPPES

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

SHANNON NICOLE SULLLIVAN CDCA (NPI 1063181006) is an individual addiction (substance use disorder) provider in Xenia, Ohio and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1063181006
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON NICOLE SULLLIVANCredential: CDCA
Location Address515 MARTIN DRXenia, OH 45385-1615
Mailing Address515 Martin DrXenia, OH 45385-1615 · (937) 562-2400
Phone(937) 562-2400
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
NPPES CertifiedSeptember 13, 2021
✔ NPI 1063181006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
515 MARTIN DR, Xenia, OH 45385
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Other Providers at the Same Location NPPES 20

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

DENISE DARLENE DAWSON CDCA
Case Manager/Care Coordinator
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
JESSICA L KING LSW
Social Worker
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
HEATHER RENEE BYRD
Counselor (Addiction (Substance Use Disorder))
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
RECOVERY CENTERS INCORPORATED
Substance Abuse Rehabilitation Facility
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 352-2900
TANA MICHELE COX
Counselor (Professional)
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 458-4880
AMANDA GRACE MONTGOMERY CDCA
Counselor (Addiction (Substance Use Disorder))
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
SHAKIA PORTER
Counselor (Addiction (Substance Use Disorder))
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 562-2400
KATHLEEN E ESTABROOK PCC-S,LSW,LICDC
Counselor (Professional)
515 MARTIN DR
XENIA, OH 45385
Greene County (937) 352-2908

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 Shannon Sulllivan's NPI number?

The NPI number for Shannon Sulllivan is 1063181006. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Shannon Sulllivan located?

Shannon Sulllivan practices at 515 Martin Dr, Xenia, OH 45385. The listed phone number is (937) 562-2400.

What is Shannon Sulllivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Sulllivan was last updated on September 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.