ALEXIS KIRAH SULLIVAN
NPI 1871181248
Peer Specialist in Provo, UT

Active since January 01, 2021
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: January 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexis Kirah Sullivan NPPES

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

ALEXIS KIRAH SULLIVAN (NPI 1871181248) is an individual peer specialist in Provo, Utah and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1871181248
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameALEXIS KIRAH SULLIVAN
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 373-0639
Fax(801) 373-0639
Sole ProprietorNo
Enumeration DateJanuary 1, 2021
NPPES CertifiedJanuary 1, 2021
NPI 1871181248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
750 N FREEDOM BLVD, Provo, UT 84601

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.

Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601

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 Alexis Sullivan's NPI number?

The NPI number for Alexis Sullivan is 1871181248. It was assigned to this individual provider in the NPPES registry on January 1, 2021.

Where is Alexis Sullivan located?

Alexis Sullivan practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Alexis Sullivan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Alexis Sullivan was last updated on January 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.