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MICHAEL SULLIVAN
NPI 1376243402
Counselor - Professional in Bend, OR

Active since March 07, 2023
164 NW HAWTHORNE AVE, BEND, OR 97703(802) 595-9090 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Sullivan NPPES

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

MICHAEL SULLIVAN (NPI 1376243402) is an individual professional provider in Bend, Oregon, licensed in Oregon (C6081) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1376243402
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL SULLIVAN
Location Address164 NW HAWTHORNE AVEBend, OR 97703-2918
Mailing Address164 Nw Hawthorne AveBend, OR 97703-2918
Phone(802) 595-9090
Sole ProprietorYes
Enumeration DateMarch 7, 2023
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1376243402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C6081
164 NW HAWTHORNE AVE, Bend, OR 97703
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Other Providers at the Same Location NPPES 3

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

LEE GIROUX LMFT
Marriage & Family Therapist
164 NW HAWTHORNE AVE
BEND, OR 97703
Deschutes County (541) 323-5126
CARRIE KRAFT LPC INTERN
Counselor (Mental Health)
164 NW HAWTHORNE AVE
BEND, OR 97703
Deschutes County (541) 323-3340
SEAN ROBERTS M.S., L.P.C
Counselor (Mental Health)
164 NW HAWTHORNE AVE
BEND, OR 97703
Deschutes County (541) 323-5129

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 Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1376243402. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Michael Sullivan located?

Michael Sullivan practices at 164 NW Hawthorne Ave, Bend, OR 97703. The listed phone number is (802) 595-9090.

What is Michael Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.