1. Home
  2. Directory
  3. South Dakota
  4. Watertown
  5. Counselor
  6. NPI Profile

MS. JENNIFER JANE SULLIVAN BS
NPI 1639277205
Counselor - Mental Health in Watertown, SD

Active since September 20, 2006
123 19TH STREET NE, WATERTOWN, SD 57201(605) 886-0123(605) 886-5447 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jennifer Jane Sullivan Bs NPPES

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

MS. JENNIFER JANE SULLIVAN BS (NPI 1639277205) is an individual mental health provider in Watertown, South Dakota, licensed in South Dakota (BS DEGREE IN CRIMINA) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1639277205
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JENNIFER JANE SULLIVANCredential: BS
Location Address123 19TH STREET NEWatertown, SD 57201
Mailing AddressPo Box 1030Watertown, SD 57201 · (605) 886-0123 · Fax (605) 886-5447
Phone(605) 886-0123
Fax(605) 886-5447
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639277205 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 SD · BS DEGREE IN CRIMINA
123 19TH STREET NE, Watertown, SD 57201
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Jane Putt Bs

Other Identifiers 1

Medicaid5200010SD

Other Providers at the Same Location NPPES 5

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

CARRIE J DYLLA PAC
Nurse Practitioner (Psychiatric/Mental Health)
123 19TH STREET NE
WATERTOWN, SD 57201
Codington County (605) 886-8482
DR. ROBERT W GIEBINK MD
Psychiatry & Neurology (Psychiatry)
123 19TH STREET NE
WATERTOWN, SD 57201
Codington County (605) 886-0123
MRS. ELOISE JOAN FALK M ED LPC NCC
Social Worker (Clinical)
123 19TH STREET NE
WATERTOWN, SD 57201
Codington County (605) 886-0123
MRS. DAWN RENEE SIKKINK BA
Counselor (Mental Health)
123 19TH STREET NE
WATERTOWN, SD 57201
Codington County (605) 886-0123
MRS. JVONNE L ELLINGSON CCDCT
Counselor (Addiction (Substance Use Disorder))
123 19TH STREET NE
WATERTOWN, SD 57201
Codington County (605) 886-0123

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 Jennifer Sullivan's NPI number?

The NPI number for Jennifer Sullivan is 1639277205. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Jennifer Jane Putt Bs.

Where is Jennifer Sullivan located?

Jennifer Sullivan practices at 123 19th Street NE, Watertown, SD 57201. The listed phone number is (605) 886-0123.

What is Jennifer 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 Jennifer Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.