KATHLEEN SCARLETT SULLIVAN MFT
NPI 1790938694
Marriage & Family Therapist in Placerville, CA
About Kathleen Scarlett Sullivan Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN SCARLETT SULLIVAN MFT (NPI 1790938694) is an individual marriage & family therapist in Placerville, California, licensed in California (49153) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Scarlett Sullivan Mft 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grass Valley, CA 95945
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
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 Kathleen Sullivan's NPI number?
The NPI number for Kathleen Sullivan is 1790938694. It was assigned to this individual provider in the NPPES registry on October 23, 2008.
Where is Kathleen Sullivan located?
Kathleen Sullivan practices at 4212 Missouri Flat Rd, Placerville, CA 95667. The listed phone number is (530) 621-7700.
What is Kathleen Sullivan's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kathleen Sullivan enrolled in Medicare?
Yes. Kathleen 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.
Which organization bills Medicare for Kathleen Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Sullivan reassigns Medicare benefits to County Of Nevada (Grass Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Sullivan was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kathleen Scarlett Sullivan, MFT · NPI 1790938694
Marriage & Family Therapist provider in Placerville, California. Individual provider, active in the CMS NPPES registry since October 23, 2008.
## Identity
- **NPI:** 1790938694 (Entity type: Individual)
- **Enumerated:** October 23, 2008
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 49153 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4212 MISSOURI FLAT RD, Placerville, CA 95667-6269
- **Phone:** (530) 621-7700 · **Fax:** (530) 621-7713
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Nevada (NPI 1982620399, Grass Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790938694) · Data from the CMS NPPES public registry.