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BRIAN O'SULLIVAN LMFT
NPI 1306582697
Marriage & Family Therapist in Goya, Okinawa City, OKINAWA

Active since May 09, 2022Opted out of Medicare · through Jan 11, 2028
MARUNAKA B-301, 5-CHOME-26-16, GOYA, OKINAWA CITY, OKINAWA 90400(559) 343-1458 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 9, 2022 (2 updates tracked since 2022).

About Brian O'sullivan Lmft NPPES

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

BRIAN O'SULLIVAN LMFT (NPI 1306582697) is an individual marriage & family therapist in Goya, Okinawa City, OKINAWA, licensed in California (LMFT122484) and active in the NPI registry since May 2022. He has opted out of Medicare through January 11, 2028.

NPPES Registry Identity

NPI1306582697
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameBRIAN O'SULLIVANCredential: LMFT
Location AddressMARUNAKA B-301, 5-CHOME-26-16Goya, Okinawa City, OKINAWA 90400
Mailing AddressMarunaka B-301, 5-chome-26-16Goya, Okinawa City, OKINAWA 90400
Phone(559) 343-1458
Sole ProprietorYes
Enumeration DateMay 9, 2022
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1306582697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT122484
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
MARUNAKA B-301, 5-CHOME-26-16, Goya, Okinawa City, OKINAWA 90400
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brian O'sullivan Lmft 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 January 11, 2024 through January 11, 2028.

Opt-Out Effective DateJanuary 11, 2024
Opt-Out In Effect ThroughJanuary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Brian O'sullivan's NPI number?

The NPI number for Brian O'sullivan is 1306582697. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Brian O'sullivan located?

Brian O'sullivan practices at Marunaka B-301, 5-Chome-26-16, Goya, Okinawa City, OKINAWA 90400. The listed phone number is (559) 343-1458.

What is Brian O'sullivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Brian O'sullivan enrolled in Medicare?

No. Brian O'sullivan has opted out of Medicare through January 11, 2028. 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 Brian O'sullivan was last updated on July 21, 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.