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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEITH ALAN SULLIVAN
NPI 1396062873
Marriage & Family Therapist in Raleigh, NC

Active since April 23, 2010
4601 LAKE BOONE TRL STE 1B, RALEIGH, NC 27607(919) 781-1800 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Keith Alan Sullivan NPPES

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

KEITH ALAN SULLIVAN (NPI 1396062873) is an individual marriage & family therapist in Raleigh, North Carolina, licensed in North Carolina (21226A) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1396062873
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKEITH ALAN SULLIVAN
Location Address4601 LAKE BOONE TRL STE 1BRaleigh, NC 27607-7503
Mailing Address515 Rice CirWake Forest, NC 27587-2516 · (919) 426-1399
Phone(919) 781-1800
Sole ProprietorYes
Enumeration DateApril 23, 2010
Last NPPES UpdateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1396062873 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 NC · 21226A
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.
4601 LAKE BOONE TRL STE 1B, Raleigh, NC 27607
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Other Providers at the Same Location NPPES 6

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

PETER B. VAN DYCK, MD & ASSOCIATES, PA
Psychiatry & Neurology (Psychiatry)
4601 LAKE BOONE TRL STE 1B
RALEIGH, NC 27607
Wake County (919) 781-1800
KRISTEN PEELE JONES
Social Worker (Clinical)
4601 LAKE BOONE TRL STE 1B
RALEIGH, NC 27607
Wake County (919) 781-1800
LAUREN MATHERS LANIER LCMHCA
Counselor (Mental Health)
4601 LAKE BOONE TRL STE 1B
RALEIGH, NC 27607
Wake County (919) 781-1800
PETER B. VAN DYCK, MD & ASSOCIATES, PA
Psychiatry & Neurology (Psychiatry)
4601 LAKE BOONE TRL STE 1B
RALEIGH, NC 27607
Wake County (919) 781-1800
MALLORY LAKE MCCOY PA-C
Physician Assistant
4601 LAKE BOONE TRL STE 1B
RALEIGH, NC 27607
Wake County (919) 781-1800
DR. PETER BERN VAN DYCK MD
Psychiatry & Neurology (Psychiatry)
4601 LAKE BOONE TRL STE 1B
RALEIGH, NC 27607
Wake County (919) 781-1800

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 1396062873. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Keith Sullivan located?

Keith Sullivan practices at 4601 Lake Boone Trl Ste 1B, Raleigh, NC 27607. The listed phone number is (919) 781-1800.

What is Keith 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 Keith Sullivan was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.