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MS. MEREDITH SULLIVAN MS, MA
NPI 1376944504
Marriage & Family Therapist in Portage, WI

Active since September 08, 2014
2901 HUNTERS TRL, PORTAGE, WI 53901(608) 742-5518(608) 742-4087 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Meredith Sullivan Ms, Ma NPPES

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

MS. MEREDITH SULLIVAN MS, MA (NPI 1376944504) is an individual marriage & family therapist in Portage, Wisconsin, licensed in Wisconsin (1047) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1376944504
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. MEREDITH SULLIVANCredential: MS, MA
Location Address2901 HUNTERS TRLPortage, WI 53901-3403
Mailing Address2901 Hunters TrlPortage, WI 53901-3403 · (608) 742-5518 · Fax (608) 742-4087
Phone(608) 742-5518
Fax(608) 742-4087
Sole ProprietorYes
Enumeration DateSeptember 8, 2014
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1376944504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WI · 1047
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 327-228 (WI)
2901 HUNTERS TRL, Portage, WI 53901
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Other Identifiers 1

Medicaid1376944504WI

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.

SUSAN I QUIRICONI MSW CICSW
Social Worker (Clinical)
2901 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-5518
JENNIFER R GRUBA PHD
Psychologist (Clinical)
2901 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-5518
AMANDA MCCONVILLE
Nurse Practitioner (Psychiatric/Mental Health)
2901 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-5518
DR. TAMMY ANN PIERNER M.D.
Psychiatry & Neurology (Psychiatry)
2901 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 745-5518
ROBIN A DEETHARDT LPC
Counselor (Professional)
2901 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-5518
SUSAN A KNOWER LPC, IDPAT
Counselor (Mental Health)
2901 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-5518
MICHAEL J OSTROWSKI PH.D.
Psychologist
2901 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-5518
KRISTINE G SCHMITT MA, LPC
Counselor
2901 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-5518

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 Meredith Sullivan's NPI number?

The NPI number for Meredith Sullivan is 1376944504. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Meredith Sullivan located?

Meredith Sullivan practices at 2901 Hunters Trl, Portage, WI 53901. The listed phone number is (608) 742-5518.

What is Meredith Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Meredith Sullivan was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.