SCOTT LAMAR SULLIVAN
NPI 1770056608
Counselor - Addiction (Substance Use Disorder) in Eureka, CA

Active since January 03, 2019

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2024, Aug 18, 2023, Jan 3, 2019 (3 updates tracked since 2019).

About Scott Lamar Sullivan NPPES

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

SCOTT LAMAR SULLIVAN (NPI 1770056608) is an individual addiction (substance use disorder) provider in Eureka, California, licensed in California (R8764) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1770056608
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSCOTT LAMAR SULLIVAN
Location Address404 H STEureka, CA 95501-1022
Mailing Address720 Wood StEureka, CA 95501-4413 · (707) 268-2990
Sole ProprietorNo
Enumeration DateJanuary 3, 2019
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1770056608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R8764
404 H ST, Eureka, CA 95501

Other Providers at the Same Location NPPES 4

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

Student in an Organized Health Care Education/Training Program
404 H ST
EUREKA, CA 95501
Community/Behavioral Health
404 H ST
EUREKA, CA 95501
Counselor
404 H ST
EUREKA, CA 95501
Social Worker (Clinical)
404 H ST
EUREKA, CA 95501

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 Scott Sullivan's NPI number?

The NPI number for Scott Sullivan is 1770056608. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Where is Scott Sullivan located?

Scott Sullivan practices at 404 H St, Eureka, CA 95501. The listed phone number is (707) 599-9875.

What is Scott Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Scott Sullivan was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.