KENDALL C SULLIVAN LPC
NPI 1154288215
Counselor - Professional in Leesburg, VA

Active since January 08, 2026PECOS EnrolledAccepts Medicare Assignment
199 LIBERTY ST SW, LEESBURG, VA 20175(703) 621-7121 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 26, 2026, Jan 8, 2026 (2 updates tracked since 2026).

About Kendall C Sullivan Lpc NPPES

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

KENDALL C SULLIVAN LPC (NPI 1154288215) is an individual professional provider in Leesburg, Virginia, licensed in Virginia (0701015671) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154288215
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKENDALL C SULLIVANCredential: LPC
Location Address199 LIBERTY ST SWLeesburg, VA 20175-2715
Mailing Address199 Liberty St SwLeesburg, VA 20175-2715 · (804) 207-6737
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 8, 2026
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1154288215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701015671
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
199 LIBERTY ST SW, Leesburg, VA 20175

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

Kendall C Sullivan Lpc 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 ID5395227201
PECOS Enrollment IDI20260228000511
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 17

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

Social Worker (Clinical)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Professional)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Mental Health)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Professional)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Professional)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Mental Health)
199 LIBERTY ST SW
LEESBURG, VA 20175
Counselor (Mental Health)
199 LIBERTY ST SW
LEESBURG, VA 20175
Psychologist (Clinical)
199 LIBERTY ST SW
LEESBURG, VA 20175

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 Kendall Sullivan's NPI number?

The NPI number for Kendall Sullivan is 1154288215. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Kendall Sullivan located?

Kendall Sullivan practices at 199 Liberty St SW, Leesburg, VA 20175. The listed phone number is (703) 621-7121.

What is Kendall Sullivan's specialty?

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

Is Kendall Sullivan enrolled in Medicare?

Yes. Kendall 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.

When was this NPI record last updated?

The NPPES record for Kendall Sullivan was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.