KEITH SULLIVAN
NPI 1366796237
Counselor in Monroe, NC

Q: What is Keith Sullivan's NPI number?

The NPI number for Keith Sullivan is 1366796237. It was assigned to this individual provider in the NPPES registry on October 31, 2012.

Q: What is Keith Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Sullivan was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 31, 2012

1190 ROOSEVELT BLVD, MONROE, NC 28110(704) 296-6200(704) 296-4668 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keith Sullivan NPPES

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

KEITH SULLIVAN (NPI 1366796237) is an individual counselor in Monroe, North Carolina and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1366796237

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameKEITH SULLIVAN

Location Address1190 ROOSEVELT BLVDMonroe, NC 28110-2818

Mailing Address284 Executive Park Dr, Suite 100Concord, NC 28025-1831 · (704) 939-1100 · Fax (704) 939-1173

Phone(704) 296-6200

Fax(704) 296-4668

Sole ProprietorNo

Enumeration DateOctober 31, 2012

✔ NPI 1366796237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1190 ROOSEVELT BLVD, Monroe, NC 28110

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Other Providers at the Same Location NPPES

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

MONICA CHRISTINA JANSSEN

Registered Nurse

1190 ROOSEVELT BLVD
MONROE, NC 28110

Union County (704) 296-6200

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 Keith Sullivan's NPI number?

The NPI number for Keith Sullivan is 1366796237. It was assigned to this individual provider in the NPPES registry on October 31, 2012.

Where is Keith Sullivan located?

Keith Sullivan practices at 1190 Roosevelt Blvd, Monroe, NC 28110. The listed phone number is (704) 296-6200.

What is Keith Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Keith Sullivan was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.