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JESSICA DANIELA SULLIVAN MS, CRC, NCC
NPI 1760022909
Counselor in Lilburn, GA

Active since January 15, 2020
3161 ROYAL CREEK WAY SW, LILBURN, GA 30047(678) 369-1731 Get Directions Write a Review

NPPES record last updated: March 25, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 25, 2023, Jan 15, 2020 (2 updates tracked since 2020).

About Jessica Daniela Sullivan Ms, Crc, Ncc NPPES

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

JESSICA DANIELA SULLIVAN MS, CRC, NCC (NPI 1760022909) is an individual counselor in Lilburn, Georgia and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1760022909
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA DANIELA SULLIVANCredential: MS, CRC, NCC
Location Address3161 ROYAL CREEK WAY SWLilburn, GA 30047-1884
Mailing Address3161 Royal Creek Way SwLilburn, GA 30047-1884
Phone(678) 369-1731
Sole ProprietorNo
Enumeration DateJanuary 15, 2020
Last NPPES UpdateMarch 25, 20232 updates tracked since enumeration
NPPES CertifiedMarch 25, 2023
✔ NPI 1760022909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
3161 ROYAL CREEK WAY SW, Lilburn, GA 30047
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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 Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1760022909. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 3161 Royal Creek Way SW, Lilburn, GA 30047. The listed phone number is (678) 369-1731.

What is Jessica 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 Jessica Sullivan was last updated on March 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.