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KEVIN A. SULLIVAN L.I.S.W.
NPI 1457508996
Counselor in Sun Prairie, WI

Active since August 27, 2008
1500 W. MAIN ST. STE 300, PHOENIX COUNSELING, SUN PRAIRIE, WI 53590(608) 825-6711(608) 834-6499 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin A. Sullivan L.i.s.w. NPPES

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

KEVIN A. SULLIVAN L.I.S.W. (NPI 1457508996) is an individual counselor in Sun Prairie, Wisconsin, licensed in Wisconsin (328) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1457508996
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEVIN A. SULLIVANCredential: L.I.S.W.
Location Address1500 W. MAIN ST. STE 300, PHOENIX COUNSELINGSun Prairie, WI 53590
Mailing Address1532 W. Main St., Ste. 100Sun Prairie, WA 53590 · (608) 825-7226
Phone(608) 825-6711
Fax(608) 834-6499
Sole ProprietorNo
Enumeration DateAugust 27, 2008
✔ NPI 1457508996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 328
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1500 W. MAIN ST. STE 300, Sun Prairie, WI 53590
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Other Identifiers 1

Medicaid39-728100WI

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 Kevin Sullivan's NPI number?

The NPI number for Kevin Sullivan is 1457508996. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Kevin Sullivan located?

Kevin Sullivan practices at 1500 W. Main St. Ste 300 Phoenix Counseling, Sun Prairie, WI 53590. The listed phone number is (608) 825-6711.

What is Kevin Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kevin Sullivan was last updated on August 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.