MATTHEW SULLIVAN
NPI 1629328463
Counselor - Professional in Batesville, AR

Active since September 19, 2012PECOS Enrolled
1650 WHITE DR, BATESVILLE, AR 72501(870) 919-3381 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Sullivan NPPES

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

MATTHEW SULLIVAN (NPI 1629328463) is an individual professional provider in Batesville, Arkansas, licensed in Arkansas (P2205009) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rogers.

NPPES Registry Identity

NPI1629328463
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW SULLIVAN
Location Address1650 WHITE DRBatesville, AR 72501-9384
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020
Sole ProprietorNo
Enumeration DateSeptember 19, 2012
Last NPPES UpdateMay 24, 2022
NPPES CertifiedMay 24, 2022
NPI 1629328463 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 AR · P2205009
1650 WHITE DR, Batesville, AR 72501

Secondary Practice Location 1

Location 11140 W Walnut St Ste 3Rogers, AR 72756-3597 · Phone (479) 631-9996 · Fax (479) 631-1782

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

Social Worker (Clinical)
1650 WHITE DR
BATESVILLE, AR 72501
Case Manager/Care Coordinator
1650 WHITE DR
BATESVILLE, AR 72501

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 Matthew Sullivan's NPI number?

The NPI number for Matthew Sullivan is 1629328463. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Matthew Sullivan located?

Matthew Sullivan practices at 1650 White Dr, Batesville, AR 72501. The listed phone number is (870) 919-3381.

What is Matthew Sullivan's specialty?

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

Is Matthew Sullivan enrolled in Medicare?

Yes. Matthew Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Sullivan was last updated on May 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.