JEFFREY SULLO LPC
NPI 1508292475
Counselor - Professional in Bethany, CT

Active since September 23, 2013PECOS EnrolledAccepts Medicare Assignment
27 GREEN HILL RD, BETHANY, CT 06524(203) 931-5621 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Sullo Lpc NPPES

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

JEFFREY SULLO LPC (NPI 1508292475) is an individual professional provider in Bethany, Connecticut, licensed in Connecticut (3074) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508292475
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEFFREY SULLOCredential: LPC
Location Address27 GREEN HILL RDBethany, CT 06524-3324
Mailing Address27 Green Hill RdBethany, CT 06524-3324 · (203) 931-5621
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 23, 2013
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
NPI 1508292475 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 CT · 3074
27 GREEN HILL RD, Bethany, CT 06524

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

Jeffrey Sullo Lpc 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 ID7012350341
PECOS Enrollment IDI20240202003872
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.

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 Jeffrey Sullo's NPI number?

The NPI number for Jeffrey Sullo is 1508292475. It was assigned to this individual provider in the NPPES registry on September 23, 2013.

Where is Jeffrey Sullo located?

Jeffrey Sullo practices at 27 Green Hill Rd, Bethany, CT 06524. The listed phone number is (203) 931-5621.

What is Jeffrey Sullo's specialty?

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

Is Jeffrey Sullo enrolled in Medicare?

Yes. Jeffrey Sullo 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 Jeffrey Sullo accept?

Health plans from Providence Health Plan list Jeffrey Sullo 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 Jeffrey Sullo was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.