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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANN ELLEN SULLIVAN
NPI 1720412455
Counselor - Professional in Wentzville, MO

Active since August 29, 2013PECOS Enrolled
237 CREEKSIDE OFFICE DR, WENTZVILLE, MO 63385(636) 202-1412(636) 201-3379 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 20, 2026, Nov 14, 2024 (2 updates tracked since 2024).

About Ann Ellen Sullivan NPPES

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

ANN ELLEN SULLIVAN (NPI 1720412455) is an individual professional provider in Wentzville, Missouri, licensed in Missouri (2019046362) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720412455
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANN ELLEN SULLIVAN
Location Address237 CREEKSIDE OFFICE DRWentzville, MO 63385-3290
Mailing Address2 Macon CtLake St Louis, MO 63367-1226 · (903) 357-9642
Phone(636) 202-1412
Fax(636) 201-3379
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 29, 2013
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1720412455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MO · 2019046362✔ Licensed in OK · 6286
237 CREEKSIDE OFFICE DR, Wentzville, MO 63385
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12601 S LeMay Ave Unit 3Fort Collins, CO 80525-2247 · Phone (918) 608-0380
Location 27424 S Yale Ave Ste 100Tulsa, OK 74136-7151 · Phone (918) 760-5243

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ann Ellen Sullivan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517315054
PECOS Enrollment IDI20231122001793
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 8

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

RABIA SHOAIB MED, PLPC
Counselor (Mental Health)
237 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385
St. Charles County (636) 202-1412
OLIVIA BEISHIR
Counselor (Mental Health)
237 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385
St. Charles County (636) 202-1412
KARLEE ELAINE JASINSKI M.ED., PLPC
Counselor (Mental Health)
237 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385
St. Charles County (636) 202-1412
CHELSEA L WIRE MA, LPC
Counselor (Professional)
237 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385
St. Charles County (636) 202-1412
MS. JANIE RENEE WILLIAMS EDS, PLPC
Counselor (Mental Health)
237 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385
St. Charles County (636) 202-1412
DR. VIDYA VIJAYAN LMSW, PHD
Social Worker
237 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385
St. Charles County (636) 202-1412
CARMEN KINNEY
Counselor (Mental Health)
237 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385
St. Charles County (636) 202-1412
GRACE PEACOCK LMSW
Social Worker (Clinical)
237 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385
St. Charles County (636) 202-1412

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 Ann Sullivan's NPI number?

The NPI number for Ann Sullivan is 1720412455. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Ann Sullivan located?

Ann Sullivan practices at 237 Creekside Office Dr, Wentzville, MO 63385. The listed phone number is (636) 202-1412.

What is Ann Sullivan's specialty?

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

Is Ann Sullivan enrolled in Medicare?

Yes. Ann Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ann Sullivan accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and Oscar Insurance Company and 2 other insurers list Ann Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ann Sullivan was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.