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STEPHANIE SULLIVAN PHD, LMHC
NPI 1417677105
Counselor - Mental Health in Boston, MA

Active since September 01, 2022PECOS EnrolledAccepts Medicare Assignment
780 ALBANY ST, BOSTON, MA 02118(857) 654-1002 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephanie Sullivan Phd, Lmhc NPPES

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

STEPHANIE SULLIVAN PHD, LMHC (NPI 1417677105) is an individual mental health provider in Boston, Massachusetts, licensed in Massachusetts (5518) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417677105
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE SULLIVANCredential: PHD, LMHC
Location Address780 ALBANY STBoston, MA 02118-2755
Mailing Address48 Hartness RdSutton, MA 01590-4815 · (508) 865-2806
Phone(857) 654-1002
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
✔ NPI 1417677105 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 MA · 5518
780 ALBANY ST, Boston, MA 02118
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Collins

Other Identifiers 1

OtherS20079445MA · Driver's License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Sullivan Phd, Lmhc 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 ID840674982
PECOS Enrollment IDI20240528003069
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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Health Services, LLC
30 mi
Mental Health (Including Community Mental Health Center)
30 TAUNTON GREEN, SUITE 5
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 689 clinicians in this Medicare group
NPI 1225067481 (508) 880-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SARAH BAYER LICSW
Social Worker (Clinical)
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
ENID RAMOS RN
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
MS. KATHLEEN A. PALIMERI N.P.
Nurse Practitioner
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
DR. ALAN FILZER DDS
Dentist (General Practice)
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
APRIL RAMSEY RN
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
GINA PIERRE
Registered Nurse
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000
DAVID RACHLIN LICSW
Social Worker (Clinical)
780 ALBANY ST
BOSTON, MA 02118
Suffolk County (857) 654-1000

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 Stephanie Sullivan's NPI number?

The NPI number for Stephanie Sullivan is 1417677105. It was assigned to this individual provider in the NPPES registry on September 1, 2022. The provider is also known as Stephanie Collins.

Where is Stephanie Sullivan located?

Stephanie Sullivan practices at 780 Albany St, Boston, MA 02118. The listed phone number is (857) 654-1002.

What is Stephanie Sullivan's specialty?

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

Is Stephanie Sullivan enrolled in Medicare?

Yes. Stephanie Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stephanie Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Sullivan reassigns Medicare benefits to Northeast Health Services, LLC (Taunton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Sullivan was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.