JANA SULLIVAN
NPI 1770160012
Counselor - Professional in Louisa, KY
Active since March 24, 2021
About Jana Sullivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANA SULLIVAN (NPI 1770160012) is an individual professional provider in Louisa, Kentucky, licensed in Kentucky (284751) and active in the NPI registry since March 2021. She maintains a secondary practice location in Louisa.
NPPES Registry Identity
NPI1770160012
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJANA SULLIVAN
Location Address125 S MAIN CROSS STLouisa, KY 41230-1330
Mailing AddressPo Box 726Louisa, KY 41230-0726 · (606) 638-0938 · Fax (859) 813-5394
Phone(606) 638-0938
Fax(859) 813-5394
Sole ProprietorYes
Enumeration DateMarch 24, 2021
Last NPPES UpdateDecember 5, 20254 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1770160012 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 284751
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 171116 (KY)
125 S MAIN CROSS ST, Louisa, KY 41230
Secondary Practice Location 1
Location 1203 S Water StLouisa, KY 41230-1347 · Phone (606) 649-2211 · Fax (606) 638-1399
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Substance Abuse Rehabilitation Facility
125 S MAIN CROSS ST
LOUISA, KY 41230
LOUISA, KY 41230
Substance Abuse Rehabilitation Facility
125 S MAIN CROSS ST, SUITE 202
LOUISA, KY 41230
LOUISA, KY 41230
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770160012, enumerated as an "individual" on March 24, 2021.
The provider is located at 125 S MAIN CROSS ST LOUISA, KY 41230 and the phone number is (606) 638-0938.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
