MS. SEAN KATHARINE SULLIVAN M.A., LPC-INTERN
NPI 1497037444
Counselor - Professional in Odessa, TX

Q: What is Sean Sullivan's NPI number?

The NPI number for Sean Sullivan is 1497037444. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Q: What is Sean Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Sean Sullivan was last updated on September 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment

2458 E 11TH ST, ODESSA, TX 79761(432) 582-2444(432) 582-2449 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Sean Katharine Sullivan M.a., Lpc-intern NPPES

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

MS. SEAN KATHARINE SULLIVAN M.A., LPC-INTERN (NPI 1497037444) is an individual professional provider in Odessa, Texas, licensed in Texas (66857) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497037444

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. SEAN KATHARINE SULLIVANCredential: M.A., LPC-INTERN

Location Address2458 E 11TH STOdessa, TX 79761-4236

Mailing Address2458 E 11th StOdessa, TX 79761-4236 · (432) 582-2444 · Fax (432) 582-2449

Phone(432) 582-2444

Fax(432) 582-2449

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 15, 2011

✔ NPI 1497037444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 66857

2458 E 11TH ST, Odessa, TX 79761

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sean Katharine Sullivan M.a., Lpc-intern 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 ID8224504063

PECOS Enrollment IDI20260418000275

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.

Other Providers at the Same Location NPPES 8

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

RONALD SCOTT MARTIN LPC , LSOTP

Counselor (Professional)