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MRS. MARY LOU SULLIVAN MA COUNSELING MFCC
NPI 1801083514
Counselor - Mental Health in Portland, OR

Active since September 26, 2007
1132 SW 13TH AVENUE, PORTLAND, OR 97205(503) 535-3885(503) 223-6837 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary Lou Sullivan Ma Counseling Mfcc NPPES

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

MRS. MARY LOU SULLIVAN MA COUNSELING MFCC (NPI 1801083514) is an individual mental health provider in Portland, Oregon and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1801083514
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MARY LOU SULLIVANCredential: MA COUNSELING MFCC
Location Address1132 SW 13TH AVENUEPortland, OR 97205-1703
Mailing Address1132 Sw 13th AvenuePortland, OR 97205-1703 · (503) 535-3885 · Fax (503) 223-6837
Phone(503) 535-3885
Fax(503) 223-6837
Sole ProprietorNo
Enumeration DateSeptember 26, 2007
✔ NPI 1801083514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1132 SW 13TH AVENUE, Portland, OR 97205
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Other Names 1

Former Name (1)Mary Lou Bacci Villavicencio

Other Providers at the Same Location NPPES 7

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

MR. STEVEN MARTIN KEENAN QMHP
Counselor (Mental Health)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Multnomah County (503) 535-3818
MS. DANIELLE RAE MCMINN KAIGLER CADC I
Counselor (Addiction (Substance Use Disorder))
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Multnomah County (503) 353-5930
EMILY ANNE ETZKORN MSW
Counselor (Mental Health)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Multnomah County (503) 535-3821
MS. CLAUDIA SCHROEDER LCSW CADCI
Social Worker (Clinical)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Multnomah County (503) 535-3806
MS. MAUREEN CECILIA BRENNAN LCSW
Social Worker (Clinical)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Multnomah County (503) 535-3845
MS. ASHLEY MAY LANGAN MSW
Counselor (Mental Health)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Multnomah County (503) 535-3807
MS. HEATHER LOUISE BROWN MA COUNSELING PSYCHO
Counselor (Mental Health)
1132 SW 13TH AVENUE
PORTLAND, OR 97205
Multnomah County (503) 535-3805

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 Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1801083514. It was assigned to this individual provider in the NPPES registry on September 26, 2007. The provider is also known as Mary Lou Bacci Villavicencio.

Where is Mary Sullivan located?

Mary Sullivan practices at 1132 SW 13th Avenue, Portland, OR 97205. The listed phone number is (503) 535-3885.

What is Mary Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Sullivan was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.