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MARK L SULLIVAN LPC
NPI 1295260347
Counselor - Professional in West Plains, MO

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
1015 LANTON RD, WEST PLAINS, MO 65775(417) 256-2570 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 29, 2023, Apr 26, 2017 (2 updates tracked since 2017).

About Mark L Sullivan Lpc NPPES

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

MARK L SULLIVAN LPC (NPI 1295260347) is an individual professional provider in West Plains, Missouri and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295260347
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK L SULLIVANCredential: LPC
Location Address1015 LANTON RDWest Plains, MO 65775-3854
Mailing Address1015 Lanton RdWest Plains, MO 65775-3854
Phone(417) 256-2570
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 26, 2017
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1295260347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1015 LANTON RD, West Plains, MO 65775
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Mark L Sullivan Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527417237
PECOS Enrollment IDI20231206003316
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 Reassignments

2

Medicare enrollment records show Mark Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caliber Counseling & Training LLC
12 mi
Professional
4670 COUNTY ROAD 2630
Pomona, MO 65789
  • Reassigned Medicare billing, Missouri enrollment
  • 3 clinicians in this Medicare group
NPI 1558122119 (417) 274-0469
Family Counseling Center, Inc.
78 mi
Primary Care
3001 WARRIOR LN
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
NPI 1235738493 (573) 686-1200

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 20

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

MICHELLE BROWN
Case Manager/Care Coordinator
1015 LANTON RD
WEST PLAINS, MO 65775
Howell County (417) 256-2570
JOHNATHAN MCCLURE
Counselor (Addiction (Substance Use Disorder))
1015 LANTON RD
WEST PLAINS, MO 65775
Howell County (417) 256-2570
TASHA COLLINS
Technician (Attendant Care Provider)
1015 LANTON RD
WEST PLAINS, MO 65775
Howell County (417) 256-2570
JAISON SWANK
Technician, Other
1015 LANTON RD
WEST PLAINS, MO 65775
Howell County (417) 256-2570
MR. JOSH ALLEN
Technician/Technologist
1015 LANTON RD
WEST PLAINS, MO 65775
Howell County (417) 256-2570
CHRISTA COOPER
Case Manager/Care Coordinator
1015 LANTON RD
WEST PLAINS, MO 65775
Howell County (417) 256-2570
MR. CHRISTOPHER ELI SEWELL
Behavior Technician
1015 LANTON RD
WEST PLAINS, MO 65775
Howell County (417) 256-2570
PATRICIA LYNN VELARDE
Behavior Technician
1015 LANTON RD
WEST PLAINS, MO 65775
Howell County (417) 256-2570

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 Mark Sullivan's NPI number?

The NPI number for Mark Sullivan is 1295260347. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Mark Sullivan located?

Mark Sullivan practices at 1015 Lanton Rd, West Plains, MO 65775. The listed phone number is (417) 256-2570.

What is Mark Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mark Sullivan enrolled in Medicare?

Yes. Mark Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mark Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Sullivan reassigns Medicare benefits to 2 organizations: Caliber Counseling & Training LLC (Pomona, MO) and Family Counseling Center, Inc. (Poplar Bluff, MO). Each 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 Mark Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Sullivan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Mark 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 Mark Sullivan was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.