JENEVIEVE L SULLIVAN M.S.
NPI 1386020196
Counselor - Mental Health in Cranston, RI

Q: What is Jenevieve Sullivan's NPI number?

The NPI number for Jenevieve Sullivan is 1386020196. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Q: What is Jenevieve Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment

45 SOCKANOSSET CROSS RD STE 4, CRANSTON, RI 02920(401) 383-4885 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jenevieve L Sullivan M.s. NPPES

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

JENEVIEVE L SULLIVAN M.S. (NPI 1386020196) is an individual mental health provider in Cranston, Rhode Island, licensed in Rhode Island (MHC00792) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1386020196

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENEVIEVE L SULLIVANCredential: M.S.

Location Address45 SOCKANOSSET CROSS RD STE 4Cranston, RI 02920-5529

Mailing AddressPo Box 263Eastford, CT 06242-0263 · (860) 377-2131

Phone(401) 383-4885

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 4, 2015

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1386020196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in RI · MHC00792

45 SOCKANOSSET CROSS RD STE 4, Cranston, RI 02920

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenevieve L Sullivan M.s. 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.

PECOS PAC ID3971943259

PECOS Enrollment IDI20240503000896

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

DR. RICHARD WILLIAM MILLER M.D.

Psychiatry & Neurology (Psychiatry)