KENISHA SULLIVAN LPC
NPI 1437831328
Counselor - Professional in Havertown, PA
About Kenisha Sullivan Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENISHA SULLIVAN LPC (NPI 1437831328) is an individual professional provider in Havertown, Pennsylvania, licensed in Pennsylvania (PC019492) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenisha Sullivan Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenisha Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, PA 19064
- Reassigned Medicare billing, Pennsylvania enrollment
- 232 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenisha Sullivan's NPI number?
The NPI number for Kenisha Sullivan is 1437831328. It was assigned to this individual provider in the NPPES registry on August 1, 2023.
Where is Kenisha Sullivan located?
Kenisha Sullivan practices at 1120 W Township Line Rd Ste 200, Havertown, PA 19083. The listed phone number is (484) 451-8313.
What is Kenisha Sullivan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kenisha Sullivan enrolled in Medicare?
Yes. Kenisha Sullivan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenisha Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenisha Sullivan reassigns Medicare benefits to Greater Philadelphia Health Action Inc. (Springfield, PA). 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 Kenisha 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 Kenisha Sullivan was last updated on October 16, 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.
# Kenisha Sullivan, LPC · NPI 1437831328
Professional provider in Havertown, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 1, 2023.
## Identity
- **NPI:** 1437831328 (Entity type: Individual)
- **Enumerated:** August 1, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC019492 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 W TOWNSHIP LINE RD STE 200, Havertown, PA 19083-4930
- **Phone:** (484) 451-8313
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Greater Philadelphia Health Action Inc. (NPI 1467976001, Springfield, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437831328) · Data from the CMS NPPES public registry.