SHAWN KENNEDY SULLIVAN
NPI 1710863956
Counselor in Woodbine, IA

Active since August 13, 2025
523 WALKER ST, WOODBINE, IA 51579(712) 647-3412 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shawn Kennedy Sullivan NPPES

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

SHAWN KENNEDY SULLIVAN (NPI 1710863956) is an individual counselor in Woodbine, Iowa, licensed in Iowa (132717) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1710863956
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHAWN KENNEDY SULLIVAN
Location Address523 WALKER STWoodbine, IA 51579-1260
Mailing Address1720 N 16th St Ste KCouncil Bluffs, IA 51501-0109
Sole ProprietorYes
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
NPI 1710863956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in IA · 132717
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

523 WALKER ST, Woodbine, IA 51579

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.

Counselor
523 WALKER ST
WOODBINE, IA 51579
Counselor (Mental Health)
523 WALKER ST
WOODBINE, IA 51579
Counselor (Mental Health)
523 WALKER ST
WOODBINE, IA 51579
Counselor
523 WALKER ST
WOODBINE, IA 51579
Social Worker (Clinical)
523 WALKER ST
WOODBINE, IA 51579

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 Shawn Sullivan's NPI number?

The NPI number for Shawn Sullivan is 1710863956. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Shawn Sullivan located?

Shawn Sullivan practices at 523 Walker St, Woodbine, IA 51579. The listed phone number is (712) 647-3412.

What is Shawn Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shawn Sullivan was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.