TINA SULLIVAN APSW
NPI 1447145255
Counselor - Mental Health in De Pere, WI

NPI Status: Active since June 11, 2025

Contact Information

3860 MONROE RD
DE PERE, WI
ZIP 54115
Phone: (920) 496-4700

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  • Individual
  • Female
  • Counselor
  • Mental Health

About TINA SULLIVAN

This page provides the complete NPI Profile along with additional information for Tina Sullivan, a provider established in De Pere, Wisconsin with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1447145255 assigned on June 2025. The practitioner's primary taxonomy code is 101YM0800X with license number 135534-121 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1447145255
Provider Name
TINA SULLIVAN APSW
Gender
Female
Entity Type
Individual
Location Address
3860 MONROE RD DE PERE, WI 54115
Location Phone
(920) 496-4700
Mailing Address
PO BOX 19070 GREEN BAY, WI 54307
Mailing Phone
(920) 496-4700
Is Sole Proprietor?
No
Enumeration Date
06-11-2025
Last Update Date
07-10-2025
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A mental health counselor like Tina Sullivan provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
135534-121
License State
WI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

135534-121 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100329015MEDICAID (05)WI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447145255, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 1 → 2 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 2 + 4 + 1 + 0 + 2 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1447145255.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
3860 MONROE RD
DE PERE, WI 54115
Pediatrics
3860 MONROE RD
DE PERE, WI 54115
Internal Medicine
3860 MONROE RD
DE PERE, WI 54115
Pediatrics
3860 MONROE RD
DE PERE, WI 54115
Family Medicine
3860 MONROE RD
DE PERE, WI 54115
Family Medicine
3860 MONROE RD
DE PERE, WI 54115
Optometrist
3860 MONROE RD
DE PERE, WI 54115
Nurse Practitioner
3860 MONROE RD
DE PERE, WI 54115
Physician Assistant
3860 MONROE RD
DE PERE, WI 54115
Nurse Practitioner
3860 MONROE RD
DE PERE, WI 54115
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Internal Medicine (Geriatric Medicine)
3860 MONROE RD
DE PERE, WI 54115
Family Medicine
3860 MONROE RD
DE PERE, WI 54115
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Dietitian, Registered
3860 MONROE RD
DE PERE, WI 54115
Family Medicine
3860 MONROE RD
DE PERE, WI 54115
Nurse Practitioner
3860 MONROE RD
DE PERE, WI 54115
Family Medicine
3860 MONROE RD
DE PERE, WI 54115
Social Worker (Clinical)
3860 MONROE RD
DE PERE, WI 54115
Nurse Practitioner (Family)
3860 MONROE RD
DE PERE, WI 54115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447145255, enumerated as an "individual" on June 11, 2025.

The provider is located at 3860 MONROE RD DE PERE, WI 54115 and the phone number is (920) 496-4700.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.