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AISHA LA SHON SULLIVAN
NPI 1861772253
Counselor - Mental Health in Campbell, CA

Active since August 17, 2011PECOS Enrolled
251 LLEWELLYN AVE, CAMPBELL, CA 95008(408) 379-3790 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aisha La Shon Sullivan NPPES

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

AISHA LA SHON SULLIVAN (NPI 1861772253) is an individual mental health provider in Campbell, California and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861772253
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAISHA LA SHON SULLIVAN
Location Address251 LLEWELLYN AVECampbell, CA 95008-1940
Mailing Address1902 Mclaughlin AveSan Jose, CA 95122-2941 · (408) 292-7759
Phone(408) 379-3790
Sole ProprietorNo
Enumeration DateAugust 17, 2011
Last NPPES UpdateDecember 29, 2021
✔ NPI 1861772253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
251 LLEWELLYN AVE, Campbell, CA 95008
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aisha La Shon Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MICHAEL CASTOR
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
ELYSE JULIA MALCOLM
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (669) 302-9756
SEAN XUAN-HUU NGUYEN
Behavior Technician
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
JAJUAN JAMES MEEKS
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
JOHN CHARLES MANUPELLA
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (877) 412-7474
JESSICA GARCIA
Behavior Technician
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
NAIHLA ARELY DE JESUS MEDINA
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 603-6795
KIM E COUSENS LCSW
Social Worker (Clinical)
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 356-9853

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 Aisha Sullivan's NPI number?

The NPI number for Aisha Sullivan is 1861772253. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Aisha Sullivan located?

Aisha Sullivan practices at 251 Llewellyn Ave, Campbell, CA 95008. The listed phone number is (408) 379-3790.

What is Aisha Sullivan's specialty?

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

Is Aisha Sullivan enrolled in Medicare?

Yes. Aisha Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aisha Sullivan was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.