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SEAN ALYSTON SULLIVAN CASE MANAGER
NPI 1194366070
Counselor - Addiction (Substance Use Disorder) in Anchorage, AK

Active since October 02, 2019
2600 CORDOVA ST, ANCHORAGE, AK 99503(907) 279-9640 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sean Alyston Sullivan Case Manager NPPES

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

SEAN ALYSTON SULLIVAN CASE MANAGER (NPI 1194366070) is an individual addiction (substance use disorder) provider in Anchorage, Alaska, licensed in Alaska (1194366070) and active in the NPI registry since October 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194366070
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSEAN ALYSTON SULLIVANCredential: CASE MANAGER
Location Address2600 CORDOVA STAnchorage, AK 99503-2745
Mailing Address2600 Cordova StAnchorage, AK 99503-2745 · (907) 887-1045
Phone(907) 279-9640
Sole ProprietorYes
Enumeration DateOctober 2, 2019
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1194366070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AK · 1194366070
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2600 CORDOVA ST, Anchorage, AK 99503
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Secondary Practice Locations 2

Location 13600 San Jeronimo DrAnchorage, AK 99508-2870 · Phone (907) 887-1045
Location 21645 Mountainman LoopAnchorage, AK 99507-1975 · Phone (907) 887-1045

Other Identifiers 1

Medicaid1194366070AK

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.

KATHRYNE OGIN LPC
Counselor (Professional)
2600 CORDOVA ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 279-9640
SAMANTHA HUSTRULID
Counselor (Addiction (Substance Use Disorder))
2600 CORDOVA ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 279-9640
DR. ALLISON HILL DC
Chiropractor
2600 CORDOVA ST, SUITE 208
ANCHORAGE, AK 99503
Anchorage Municipality (907) 563-6373

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 Sean Sullivan's NPI number?

The NPI number for Sean Sullivan is 1194366070. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Sean Sullivan located?

Sean Sullivan practices at 2600 Cordova St, Anchorage, AK 99503. The listed phone number is (907) 279-9640.

What is Sean 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 Sean Sullivan was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.