MS. TINA J SULLIVAN LPC
NPI 1760126619
Counselor in Ocean Springs, MS

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment
609 WASHINGTON AVE, OCEAN SPRINGS, MS 39564(662) 251-3245 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2024, Sep 7, 2023, Apr 26, 2022 (3 updates tracked since 2022).

About Ms. Tina J Sullivan Lpc NPPES

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

MS. TINA J SULLIVAN LPC (NPI 1760126619) is an individual counselor in Ocean Springs, Mississippi and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pascagoula, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760126619
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. TINA J SULLIVANCredential: LPC
Location Address609 WASHINGTON AVEOcean Springs, MS 39564-4633
Mailing Address609 Washington AveOcean Springs, MS 39564-4633 · (662) 251-3245
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 26, 2022
Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
NPI 1760126619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3015 (MS)
609 WASHINGTON AVE, Ocean Springs, MS 39564

Secondary Practice Location 1

Location 1912 Convent Ave Ste 2Pascagoula, MS 39567-4334 · Phone (228) 712-5077

Accepted 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

Ms. Tina J Sullivan Lpc 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 ID446601298
PECOS Enrollment IDI20240105003838
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 3

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

Counselor (Professional)
609 WASHINGTON AVE
OCEAN SPRINGS, MS 39564
Social Worker (Clinical)
609 WASHINGTON AVE
OCEAN SPRINGS, MS 39564
Social Worker (Clinical)
609 WASHINGTON AVE
OCEAN SPRINGS, MS 39564

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 Tina Sullivan's NPI number?

The NPI number for Tina Sullivan is 1760126619. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Tina Sullivan located?

Tina Sullivan practices at 609 Washington Ave, Ocean Springs, MS 39564. The listed phone number is (662) 251-3245.

What is Tina Sullivan's specialty?

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

Is Tina Sullivan enrolled in Medicare?

Yes. Tina 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 Tina Sullivan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Tina 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 Tina Sullivan was last updated on July 12, 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.