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KELLEY SULLIVAN
NPI 1508737768
Counselor - Mental Health in Eugene, OR

Active since September 12, 2025

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Sullivan NPPES

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

KELLEY SULLIVAN (NPI 1508737768) is an individual mental health provider in Eugene, Oregon, licensed in Oregon (R11924) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1508737768
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLEY SULLIVAN
Location Address1600 OAK STEugene, OR 97401-4041
Mailing Address1600 Oak StEugene, OR 97401-4041
Phone(541) 600-2034
Sole ProprietorNo
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1508737768 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 OR · R11924
1600 OAK ST, Eugene, OR 97401
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

BRIANNA ELAINE CHA
Counselor (Professional)
1600 OAK ST
EUGENE, OR 97401
Lane County (541) 600-2034
JODY CHOI MFTA
Marriage & Family Therapist
1600 OAK ST
EUGENE, OR 97401
Lane County (541) 600-2034
ALEXANDRA FRAGA
Counselor (Mental Health)
1600 OAK ST
EUGENE, OR 97401
Lane County (541) 600-2034
MELONY ANN LYON BURNETT CSWA
Social Worker
1600 OAK ST
EUGENE, OR 97401
Lane County (541) 600-2034

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 Kelley Sullivan's NPI number?

The NPI number for Kelley Sullivan is 1508737768. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Kelley Sullivan located?

Kelley Sullivan practices at 1600 Oak St, Eugene, OR 97401. The listed phone number is (541) 600-2034.

What is Kelley Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelley Sullivan was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.