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KELLY SUE SULLIVAN
NPI 1609333699
Peer Specialist in Lexington, KY

Active since February 26, 2019
1351 NEWTOWN PIKE, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Sue Sullivan NPPES

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

KELLY SUE SULLIVAN (NPI 1609333699) is an individual peer specialist in Lexington, Kentucky and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1609333699
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY SUE SULLIVAN
Location Address1351 NEWTOWN PIKELexington, KY 40511-1275
Mailing Address1351 Newtown PikeLexington, KY 40511-1275 · (859) 253-1686
Phone(859) 253-1686
Sole ProprietorYes
Enumeration DateFebruary 26, 2019
✔ NPI 1609333699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1351 NEWTOWN PIKE, Lexington, KY 40511
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Other Identifiers 1

Medicaid1790731081KY

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.

MRS. SUZANNE W WITHROW PE
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MS. BETTE LOIS WOLFGANG M.S.
Psychologist (Clinical)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
EDWINA DAVIS LCSW
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
LISA RICHARDSON LCSW
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
SALLY B WILK LCSW
Social Worker
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MS. ELIZABETH R MEEGAN BA
Counselor (Mental Health)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MS. NINA L BEGLEY MS
Psychologist (Clinical)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MR. JAMES M MOUGHAN CPSYAF
Psychologist (Clinical)
1351 NEWTOWN PIKE
LEXINGTON, KY 40511
Fayette County (859) 253-1686

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1609333699. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 1351 Newtown Pike, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on February 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.