COLLEEN MARIE SULLIVAN LMHC
NPI 1487298865
Counselor - Mental Health in St Petersburg, FL

Active since October 29, 2019Opted out of Medicare · through Feb 25, 2027
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702(781) 974-8550 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2022, Oct 29, 2019 (2 updates tracked since 2019).

About Colleen Marie Sullivan Lmhc NPPES

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

COLLEEN MARIE SULLIVAN LMHC (NPI 1487298865) is an individual mental health provider in St Petersburg, Florida, licensed in Massachusetts (12711) and active in the NPI registry since October 2019. She has opted out of Medicare through February 25, 2027.

NPPES Registry Identity

NPI1487298865
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOLLEEN MARIE SULLIVANCredential: LMHC
Location Address7901 4TH ST N STE 300St Petersburg, FL 33702-4399
Mailing Address7901 4th St N Ste 300St Petersburg, FL 33702-4399 · (781) 974-8550
Sole ProprietorNo
Enumeration DateOctober 29, 2019
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
NPI 1487298865 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 · 12711
7901 4TH ST N STE 300, St Petersburg, FL 33702

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Colleen Marie Sullivan Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 25, 2025 through February 25, 2027.

Opt-Out Effective DateFebruary 25, 2025
Opt-Out In Effect ThroughFebruary 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Mental Health)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Nurse Practitioner (Psychiatric/Mental Health)
7901 4TH ST N STE 300
SAINT PETERSBURG, FL 33702
Preventive Medicine (Public Health & General Preventive Medicine)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702

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 Colleen Sullivan's NPI number?

The NPI number for Colleen Sullivan is 1487298865. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Colleen Sullivan located?

Colleen Sullivan practices at 7901 4th St N Ste 300, St Petersburg, FL 33702. The listed phone number is (781) 974-8550.

What is Colleen Sullivan's specialty?

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

Is Colleen Sullivan enrolled in Medicare?

No. Colleen Sullivan has opted out of Medicare through February 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Colleen Sullivan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Harvard Pilgrim Health Care, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Colleen 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 Colleen Sullivan was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.