DR. BRADY SULLIVAN LPC, NCC
NPI 1497244115
Counselor in Saint Louis, MO

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
3115 S GRAND BLVD STE 300, SAINT LOUIS, MO 63118(314) 339-7356 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2022, May 8, 2018 (2 updates tracked since 2018).

About Dr. Brady Sullivan Lpc, Ncc NPPES

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

DR. BRADY SULLIVAN LPC, NCC (NPI 1497244115) is an individual counselor in Saint Louis, Missouri, licensed in Missouri (2018014894) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1497244115
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDR. BRADY SULLIVANCredential: LPC, NCC
Location Address3115 S GRAND BLVD STE 300Saint Louis, MO 63118-1046
Mailing Address4325 Loughborough AveSaint Louis, MO 63116-2103 · (630) 885-8663
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 8, 2018
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
NPI 1497244115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MO · 2018014894
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2018014894 (MO)
3115 S GRAND BLVD STE 300, Saint Louis, MO 63118

Accepted Insurance

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

Dr. Brady Sullivan Lpc, Ncc 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 ID9133565047
PECOS Enrollment IDI20240314001148
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 11

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

Clinic/Center (Adult Mental Health)
3115 S GRAND BLVD STE 300
SAINT LOUIS, MO 63118
Counselor (Mental Health)
3115 S GRAND BLVD STE 300
SAINT LOUIS, MO 63118
Social Worker (Clinical)
3115 S GRAND BLVD STE 300
SAINT LOUIS, MO 63118
Community/Behavioral Health
3115 S GRAND BLVD STE 300
SAINT LOUIS, MO 63118
Counselor (Mental Health)
3115 S GRAND BLVD STE 300
SAINT LOUIS, MO 63118
Counselor (Mental Health)
3115 S GRAND BLVD STE 300
SAINT LOUIS, MO 63118
Social Worker (Clinical)
3115 S GRAND BLVD STE 300
SAINT LOUIS, MO 63118
Counselor (Professional)
3115 S GRAND BLVD STE 300
SAINT LOUIS, MO 63118

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 Brady Sullivan's NPI number?

The NPI number for Brady Sullivan is 1497244115. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Brady Sullivan located?

Brady Sullivan practices at 3115 S Grand Blvd Ste 300, Saint Louis, MO 63118. The listed phone number is (314) 339-7356.

What is Brady Sullivan's specialty?

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

Is Brady Sullivan enrolled in Medicare?

Yes. Brady 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.

What insurance does Brady Sullivan accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Brady 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 Brady Sullivan was last updated on May 4, 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.