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LESLIE H SULLIVAN MS, NCC
NPI 1831677434
Counselor - Professional in State College, PA

Active since August 06, 2018PECOS EnrolledAccepts Medicare Assignment
320 ROLLING RIDGE DR, STATE COLLEGE, PA 16801(814) 867-0670 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2019, Aug 6, 2018 (2 updates tracked since 2018).

About Leslie H Sullivan Ms, Ncc NPPES

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

LESLIE H SULLIVAN MS, NCC (NPI 1831677434) is an individual professional provider in State College, Pennsylvania, licensed in Pennsylvania (PC011331) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831677434
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLESLIE H SULLIVANCredential: MS, NCC
Location Address320 ROLLING RIDGE DRState College, PA 16801-7641
Mailing Address320 Rolling Ridge Dr Ste 100State College, PA 16801-7641 · (814) 867-0670
Phone(814) 867-0670
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 6, 2018
Last NPPES UpdateJuly 26, 20192 updates tracked since enumeration
✔ NPI 1831677434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC011331
320 ROLLING RIDGE DR, State College, PA 16801
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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

Leslie H Sullivan Ms, Ncc 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.

PECOS PAC ID3577915164
PECOS Enrollment IDI20240118004649
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Leslie Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Odyssey Of The Heart LLC
3.7 mi
Professional
187 HONORS LN
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1962279091 (484) 802-5250

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.

GRACANNE PEARL DREIBELBIS-DRAPCHO
Counselor (Professional)
320 ROLLING RIDGE DR, SUITE 100
STATE COLLEGE, PA 16801
Centre County (814) 860-0670
MRS. MELISSA D HUNTER PHD
Psychologist (Clinical Child & Adolescent)
320 ROLLING RIDGE DR, SUITE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
BARBARA ZIFF RATNER
Social Worker (Clinical)
320 ROLLING RIDGE DR, SUITE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
MS. PAULA LYN BOYER MSW
Social Worker (Clinical)
320 ROLLING RIDGE DR, SUITE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
MR. MICHAEL EDWARD MURRAY LCSW
Social Worker (Clinical)
320 ROLLING RIDGE DR, SUITE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
BRIAN GARRETT ROCKOWER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
320 ROLLING RIDGE DR, SUITE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
MRS. KATHY J FURR LCSW
Social Worker (Clinical)
320 ROLLING RIDGE DR, SUITE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
MARIA ALIPOUR LPC
Counselor (Professional)
320 ROLLING RIDGE DR, SUITE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670

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 Leslie Sullivan's NPI number?

The NPI number for Leslie Sullivan is 1831677434. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Leslie Sullivan located?

Leslie Sullivan practices at 320 Rolling Ridge Dr, State College, PA 16801. The listed phone number is (814) 867-0670.

What is Leslie Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Leslie Sullivan enrolled in Medicare?

Yes. Leslie 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 Leslie Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Sullivan reassigns Medicare benefits to Odyssey Of The Heart LLC (State College, PA). 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 Leslie 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 Leslie Sullivan was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.