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SALLY MARIE SULLIVAN MA, LPC
NPI 1154289593
Counselor - Mental Health in Tulsa, OK

Active since January 14, 2026PECOS Enrolled
3150 E 41ST ST STE 108A, TULSA, OK 74105(918) 216-2605(918) 216-2606 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2026, Jan 23, 2026, Jan 14, 2026 (3 updates tracked since 2026).

About Sally Marie Sullivan Ma, Lpc NPPES

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

SALLY MARIE SULLIVAN MA, LPC (NPI 1154289593) is an individual mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (12237) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154289593
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSALLY MARIE SULLIVANCredential: MA, LPC
Location Address3150 E 41ST ST STE 108ATulsa, OK 74105-3739
Mailing Address5151 Oak Timber DrTulsa, OK 74131-2654 · (918) 216-2605 · Fax (918) 216-2606
Phone(918) 216-2605
Fax(918) 216-2606
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 14, 2026
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1154289593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 12237
Also ListedCounselorTaxonomy 101Y00000X · License 12237 (OK)
3150 E 41ST ST STE 108A, Tulsa, OK 74105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Marie Sullivan Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537629845
PECOS Enrollment IDI20260907000465
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 Sally Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Abundant Life Whole Person Wellness LLC
Same address
Mental Health
3150 E 41ST ST STE 108A
Tulsa, OK 74105
  • Reassigned Medicare billing, Oklahoma enrollment
NPI 1639028996 (918) 216-2605

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 2

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

ABUNDANT LIFE WHOLE PERSON WELLNESS LLC
Counselor (Mental Health)
3150 E 41ST ST STE 108A
TULSA, OK 74105
Tulsa County (918) 216-2605
SANA WOUND CARE OKLAHOMA, LLC
Registered Nurse (Wound Care)
3150 E 41ST ST STE 108A
TULSA, OK 74105
Tulsa County (479) 480-6677

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 Sally Sullivan's NPI number?

The NPI number for Sally Sullivan is 1154289593. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Sally Sullivan located?

Sally Sullivan practices at 3150 E 41st St Ste 108A, Tulsa, OK 74105. The listed phone number is (918) 216-2605.

What is Sally Sullivan's specialty?

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

Is Sally Sullivan enrolled in Medicare?

Yes. Sally Sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sally Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Sullivan reassigns Medicare benefits to Abundant Life Whole Person Wellness LLC (Tulsa, OK). 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 Sally Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Sullivan accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Oscar Insurance Company and UnitedHealthcare list Sally 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 Sally Sullivan was last updated on March 5, 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.