TRACY LYNN SULLIVAN LCPC
NPI 1114531738
Counselor - Mental Health in Kalispell, MT

Active since September 01, 2020PECOS EnrolledAccepts Medicare Assignment
723 5TH AVE E UNIT B14, KALISPELL, MT 59901(406) 351-6334(406) 300-0426 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Apr 10, 2024, Oct 11, 2020 and 1 more (4 updates tracked since 2020).

About Tracy Lynn Sullivan Lcpc NPPES

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

TRACY LYNN SULLIVAN LCPC (NPI 1114531738) is an individual mental health provider in Kalispell, Montana, licensed in Montana (BBH-LCPC-LIC-18990) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114531738
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY LYNN SULLIVANCredential: LCPC
Location Address723 5TH AVE E UNIT B14Kalispell, MT 59901-5321
Mailing Address723 5th Ave E Unit B14Kalispell, MT 59901-5321 · (406) 351-6334 · Fax (406) 300-0426
Fax(406) 300-0426
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 1, 2020
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1114531738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MT · BBH-LCPC-LIC-18990
723 5TH AVE E UNIT B14, Kalispell, MT 59901

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 and accepts Medicare assignment

Tracy Lynn Sullivan Lcpc 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 ID9436501913
PECOS Enrollment IDI20240119003374
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.

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 Tracy Sullivan's NPI number?

The NPI number for Tracy Sullivan is 1114531738. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Tracy Sullivan located?

Tracy Sullivan practices at 723 5th Ave E Unit B14, Kalispell, MT 59901. The listed phone number is (406) 351-6334.

What is Tracy Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tracy Sullivan enrolled in Medicare?

Yes. Tracy 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.

What insurance does Tracy Sullivan accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Tracy Sullivan 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 Tracy Sullivan was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.