LAUREN SULLIVAN LPC, MED, MS
NPI 1235729716
Counselor - Professional in Bryn Mawr, PA
About Lauren Sullivan Lpc, Med, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN SULLIVAN LPC, MED, MS (NPI 1235729716) is an individual professional provider in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (PC016591) and active in the NPI registry since January 2021. She has opted out of Medicare through December 17, 2026.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Lauren Sullivan Lpc, Med, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 17, 2024 through December 17, 2026.
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 Lauren Sullivan's NPI number?
The NPI number for Lauren Sullivan is 1235729716. It was assigned to this individual provider in the NPPES registry on January 19, 2021.
Where is Lauren Sullivan located?
Lauren Sullivan practices at 424 Boxwood Rd, Bryn Mawr, PA 19010. The listed phone number is (610) 955-7892.
What is Lauren Sullivan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Lauren Sullivan enrolled in Medicare?
No. Lauren Sullivan has opted out of Medicare through December 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Lauren Sullivan was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Lauren Sullivan, LPC, MED, MS · NPI 1235729716
Professional provider in Bryn Mawr, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 19, 2021.
## Identity
- **NPI:** 1235729716 (Entity type: Individual)
- **Enumerated:** January 19, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC016591 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 424 BOXWOOD RD, Bryn Mawr, PA 19010-1222
- **Phone:** (610) 955-7892
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 17, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** December 11, 2024
- **Other identifiers:** Other PC016591 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1235729716) · Data from the CMS NPPES public registry.