MISS AMY ELIZABETH SULLIVAN LPC
NPI 1760250260
Counselor - Mental Health in College Station, TX

Active since December 13, 2023Opted out of Medicare · through Jan 1, 2028
2423 EARL RUDDER FWY S STE 300, COLLEGE STATION, TX 77845(979) 221-2257 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Amy Elizabeth Sullivan Lpc NPPES

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

MISS AMY ELIZABETH SULLIVAN LPC (NPI 1760250260) is an individual mental health provider in College Station, Texas, licensed in Texas (86498) and active in the NPI registry since December 2023. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1760250260
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS AMY ELIZABETH SULLIVANCredential: LPC
Location Address2423 EARL RUDDER FWY S STE 300College Station, TX 77845-6090
Mailing Address2338 Harvey Mitchell Pkwy S Apt 7102College Station, TX 77845-5143 · (817) 705-5042
Sole ProprietorYes
Enumeration DateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
NPI 1760250260 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 TX · 86498
2423 EARL RUDDER FWY S STE 300, College Station, TX 77845

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Miss Amy Elizabeth Sullivan Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Amy Sullivan's NPI number?

The NPI number for Amy Sullivan is 1760250260. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

Where is Amy Sullivan located?

Amy Sullivan practices at 2423 Earl Rudder Fwy S Ste 300, College Station, TX 77845. The listed phone number is (979) 221-2257.

What is Amy Sullivan's specialty?

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

Is Amy Sullivan enrolled in Medicare?

No. Amy Sullivan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Amy Sullivan accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Amy 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 Amy Sullivan was last updated on December 13, 2023. 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.