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MARY JOHN MARY SULLIVAN LMFT
NPI 1104164763
Marriage & Family Therapist in Meriden, CT

Active since January 16, 2013PECOS EnrolledAccepts Medicare Assignment
271 FINCH AVE, MERIDEN, CT 06451(203) 237-8084(203) 639-1333 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary John Mary Sullivan Lmft NPPES

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

MARY JOHN MARY SULLIVAN LMFT (NPI 1104164763) is an individual marriage & family therapist in Meriden, Connecticut, licensed in Connecticut (001568) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104164763
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARY JOHN MARY SULLIVANCredential: LMFT
Location Address271 FINCH AVEMeriden, CT 06451-2715
Mailing Address271 Finch AveMeriden, CT 06451-2715 · (203) 237-8084 · Fax (203) 639-1333
Phone(203) 237-8084
Fax(203) 639-1333
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 16, 2013
✔ NPI 1104164763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CT · 001568
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
271 FINCH AVE, Meriden, CT 06451
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary John Mary Sullivan Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224541487
PECOS Enrollment IDI20250701000877
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.

Medicare Billing Reassignment

Medicare enrollment records show Mary John Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Life Center Network, Incorporated
Same address
Mental Health (Including Community Mental Health Center)
271 FINCH AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 12 clinicians in this Medicare group
NPI 1659435527 (203) 237-8084

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

FEDERICA PETTIROSSI
Marriage & Family Therapist
271 FINCH AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 237-8084
MRS. SALLIE ANN ROTH LPC
Counselor (Professional)
271 FINCH AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 237-8084
FRANCISCAN LIFE CENTER NETWORK, INCORPORATED
Counselor (Mental Health)
271 FINCH AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 237-8084
THOMAS FINN PH.D.
Psychologist (Clinical)
271 FINCH AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 237-8084
JANE ENDEE LMFT
Marriage & Family Therapist
271 FINCH AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 237-8084
MARIA SENA LMFT
Marriage & Family Therapist
271 FINCH AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 237-8084
DR. FAYE JONES HEISLER MD
Psychiatry & Neurology (Psychiatry)
271 FINCH AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 237-8084
LYNN CROMWELL LMFT
Marriage & Family Therapist
271 FINCH AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 237-8084

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 Mary John Sullivan's NPI number?

The NPI number for Mary John Sullivan is 1104164763. It was assigned to this individual provider in the NPPES registry on January 16, 2013.

Where is Mary John Sullivan located?

Mary John Sullivan practices at 271 Finch Ave, Meriden, CT 06451. The listed phone number is (203) 237-8084.

What is Mary John Sullivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mary John Sullivan enrolled in Medicare?

Yes. Mary John Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary John Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary John Sullivan reassigns Medicare benefits to Franciscan Life Center Network, Incorporated (Meriden, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary John Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary John Sullivan was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.