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TINA MARIE SULLIVAN
NPI 1447850342
Counselor - Mental Health in Council Bluffs, IA

Active since October 29, 2020PECOS EnrolledAccepts Medicare Assignment
500 WILLOW AVE STE 305, COUNCIL BLUFFS, IA 51503(712) 256-4420(712) 256-4423 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2022, Oct 29, 2020 (2 updates tracked since 2020).

About Tina Marie Sullivan NPPES

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

TINA MARIE SULLIVAN (NPI 1447850342) is an individual mental health provider in Council Bluffs, Iowa, licensed in Iowa (101697) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1447850342
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA MARIE SULLIVAN
Location Address500 WILLOW AVE STE 305Council Bluffs, IA 51503-0807
Mailing Address1720 N 16th St Ste KCouncil Bluffs, IA 51501-0109 · (712) 256-4420 · Fax (712) 256-4423
Phone(712) 256-4420
Fax(712) 256-4423
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 29, 2020
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1447850342 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 IA · 101697
500 WILLOW AVE STE 305, Council Bluffs, IA 51503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

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

Tina Marie Sullivan 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 ID5395196943
PECOS Enrollment IDI20240108004171
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 Tina Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Connections, Inc
Same address
Case Management
500 WILLOW AVE, SUITE 305
Council Bluffs, IA 51503
  • Reassigned Medicare billing, Iowa enrollment
  • 22 clinicians in this Medicare group
NPI 1740357300 (712) 256-4420

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
200 services20 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
21 services18 patients

Other Providers at the Same Location NPPES 2

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

MARY J GRIEDER APRN
Nurse Practitioner (Family)
500 WILLOW AVE STE 305
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 256-4420
LYNNSEY LINN MS
Counselor
500 WILLOW AVE STE 305
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 256-4420

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 Tina Sullivan's NPI number?

The NPI number for Tina Sullivan is 1447850342. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Tina Sullivan located?

Tina Sullivan practices at 500 Willow Ave Ste 305, Council Bluffs, IA 51503. The listed phone number is (712) 256-4420.

What is Tina Sullivan's specialty?

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

Is Tina Sullivan enrolled in Medicare?

Yes. Tina 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 Tina Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Sullivan reassigns Medicare benefits to Family Connections, Inc (Council Bluffs, IA). 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 Tina Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Sullivan accept?

Health plans from Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Tina Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Sullivan was last updated on October 5, 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.