SARAH SULLIVAN LCMHC, NCC
NPI 1730721002
Counselor - Mental Health in Charlotte, NC

Q: What is Sarah Sullivan's NPI number?

The NPI number for Sarah Sullivan is 1730721002. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Q: What is Sarah Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Sullivan was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment

10430 HARRIS OAK BLVD STE L, CHARLOTTE, NC 28269(704) 360-3637(704) 200-9829 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2019, Oct 8, 2019 (2 updates tracked since 2019).

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About Sarah Sullivan Lcmhc, Ncc NPPES

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

SARAH SULLIVAN LCMHC, NCC (NPI 1730721002) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (15274) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730721002

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSARAH SULLIVANCredential: LCMHC, NCC

Location Address10430 HARRIS OAK BLVD STE LCharlotte, NC 28269-7513

Mailing Address122 Gateway Blvd Ste CMooresville, NC 28117-5544 · (704) 360-3637 · Fax (704) 200-9829

Phone(704) 360-3637

Fax(704) 200-9829

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 8, 2019

Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1730721002 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 NC · 15274

10430 HARRIS OAK BLVD STE L, Charlotte, NC 28269

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Secondary Practice Locations 2

Location 110105 Hickorywood Hill Ave Ste BHuntersville, NC 28078-3421 · Phone (704) 360-3637

Location 2122 Gateway Blvd Ste CMooresville, NC 28117-5544 · Phone (704) 360-3637

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Sarah Sullivan Lcmhc, Ncc 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 ID8820441835

PECOS Enrollment IDI20240125003941

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.

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Other Providers at the Same Location NPPES 16

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

MRS. CELENA NICOLE SHIVERS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)