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KELLLI SULLIVAN
NPI 1174379648
Peer Specialist in Soldotna, AK

Active since April 25, 2024
43335 K BEACH RD STE 36, SOLDOTNA, AK 99669(985) 335-4950 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellli Sullivan NPPES

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

KELLLI SULLIVAN (NPI 1174379648) is an individual peer specialist in Soldotna, Alaska and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1174379648
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLLI SULLIVAN
Location Address43335 K BEACH RD STE 36Soldotna, AK 99669-8280
Mailing Address43335 K Beach Rd Ste 36Soldotna, AK 99669-8280 · (985) 335-4950
Phone(985) 335-4950
Sole ProprietorNo
Enumeration DateApril 25, 2024
NPPES CertifiedApril 25, 2024
✔ NPI 1174379648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
43335 K BEACH RD STE 36, Soldotna, AK 99669
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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.

NICHOLAS KOLANACH
Counselor (Mental Health)
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-6331
LACY JANNINE CRUZEN
Technician (Personal Care Attendant)
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-6331
JAN JUSTICE
Case Manager/Care Coordinator
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-6331
LARS RICHARD RUSSELL
Counselor (Mental Health)
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-6331
MAUREEN DIFRANCO
Peer Specialist
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 690-4617
RONALD PAUL
Peer Specialist
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-6604
CINDY LOU VASILIE MS, CDCI, AMC-S
Counselor (Mental Health)
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 714-6654
DAVID SPENCE
Peer Specialist
43335 K BEACH RD STE 36
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 394-4936

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 Kellli Sullivan's NPI number?

The NPI number for Kellli Sullivan is 1174379648. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Kellli Sullivan located?

Kellli Sullivan practices at 43335 K Beach Rd Ste 36, Soldotna, AK 99669. The listed phone number is (985) 335-4950.

What is Kellli Sullivan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kellli Sullivan was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.