HENRY EARL SULLIVAN JR. CADC 1
NPI 1174986632
Counselor - Addiction (Substance Use Disorder) in Grants Pass, OR

Q: What is Henry Sullivan's NPI number?

The NPI number for Henry Sullivan is 1174986632. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Henry Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Henry Sullivan was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 01, 2016

510 NW 4TH ST, GRANTS PASS, OR 97526(541) 474-5189(541) 474-5172 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Henry Earl Sullivan Jr. Cadc 1 NPPES

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

HENRY EARL SULLIVAN JR. CADC 1 (NPI 1174986632) is an individual addiction (substance use disorder) provider in Grants Pass, Oregon, licensed in Oregon (12-03-48) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1174986632

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameHENRY EARL SULLIVAN JR.Credential: CADC 1

Location Address510 NW 4TH STGrants Pass, OR 97526-2078

Mailing Address510 Nw 4th StGrants Pass, OR 97526-2078 · (541) 474-5189 · Fax (541) 474-5172

Phone(541) 474-5189

Fax(541) 474-5172

Sole ProprietorNo

Enumeration DateApril 1, 2016

✔ NPI 1174986632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · 12-03-48

510 NW 4TH ST, Grants Pass, OR 97526

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Other Providers at the Same Location NPPES 3

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

MRS. DENISE OLSON CADC II

Counselor (Addiction (Substance Use Disorder))

510 NW 4TH ST
GRANTS PASS, OR 97526

Josephine County (541) 474-5191

MIZRAIN VAZQUEZ CADC I

Counselor (Addiction (Substance Use Disorder))

510 NW 4TH ST
GRANTS PASS, OR 97526

Josephine County (541) 474-5196

JOSEPHINE COUNTY COMMUNITY CORRECTIONS

Counselor (Addiction (Substance Use Disorder))

510 NW 4TH ST
GRANTS PASS, OR 97526

Josephine County (541) 474-5191

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 Henry Sullivan's NPI number?

The NPI number for Henry Sullivan is 1174986632. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Henry Sullivan located?

Henry Sullivan practices at 510 NW 4th St, Grants Pass, OR 97526. The listed phone number is (541) 474-5189.

What is Henry Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Henry Sullivan was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.