MS. MARY IRENE SULLIVAN LPCC LPC
NPI 1295978153
Counselor - Professional in Bellflower, MO
About Ms. Mary Irene Sullivan Lpcc Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY IRENE SULLIVAN LPCC LPC (NPI 1295978153) is an individual professional provider in Bellflower, Missouri, licensed in Missouri (2021009968) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Ms. Mary Irene Sullivan Lpcc 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.
Medicare Billing Reassignments
4Medicare enrollment records show Mary Sullivan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68114
- Reassigned Medicare billing, Minnesota, Missouri, Oregon and Washington enrollments
- 3 clinicians in this Medicare group
Wichita, KS 67202
- Reassigned Medicare billing, Minnesota, Oregon and Washington enrollments
- Medicare enrollment name: Sondermind PA
- 28 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Missouri enrollment
- 129 clinicians in this Medicare group
Redwood City, CA 94065
- Reassigned Medicare billing, Oregon enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Mary Sullivan's NPI number?
The NPI number for Mary Sullivan is 1295978153. It was assigned to this individual provider in the NPPES registry on April 8, 2009.
Where is Mary Sullivan located?
Mary Sullivan practices at 11 Mabry Rd, Bellflower, MO 63333. The listed phone number is (715) 426-9877.
What is Mary Sullivan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Sullivan enrolled in Medicare?
Yes. Mary 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 Mary Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Sullivan reassigns Medicare benefits to 4 organizations: Encounter Telehealth, Inc (Omaha, NE), Sondermind, P.A. (Wichita, KS), Sondermind Provider Network LLC (Denver, CO) and Ah Addiction Care PC (Redwood City, CA). 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 Mary Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Sullivan accept?
Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Medica, Moda Health Plan, Inc. and Providence Health Plan and 2 other insurers list Mary 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 Mary Sullivan was last updated on June 19, 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.
# Ms. Mary Irene Sullivan, LPCC LPC · NPI 1295978153
Professional provider in Bellflower, Missouri. Individual provider, active in the CMS NPPES registry since April 8, 2009.
## Identity
- **NPI:** 1295978153 (Entity type: Individual)
- **Enumerated:** April 8, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2021009968 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 MABRY RD, Bellflower, MO 63333-2303
- **Phone:** (715) 426-9877
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Encounter Telehealth, Inc (NPI 1922342195, Omaha, NE); Sondermind, P.A. (NPI 1710647581, Wichita, KS); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO); Ah Addiction Care PC (NPI 1295516128, Redwood City, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** June 19, 2023
- **Other identifiers:** Other 2021009968 (MO); Other CC00181 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1295978153) · Data from the CMS NPPES public registry.