MS. ELLEN MARIE SULLIVAN
NPI 1962728758
Counselor in Santa Rosa, CA

Active since April 19, 2010
3440 AIRWAY DR, SUITE E, SANTA ROSA, CA 95403(707) 544-3299(707) 544-6837 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ellen Marie Sullivan NPPES

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

MS. ELLEN MARIE SULLIVAN (NPI 1962728758) is an individual counselor in Santa Rosa, California and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1962728758
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. ELLEN MARIE SULLIVAN
Location Address3440 AIRWAY DR, SUITE ESanta Rosa, CA 95403-2065
Mailing Address3440 Airway Dr, Suite ESanta Rosa, CA 95403-2065 · (707) 544-3299 · Fax (707) 544-6837
Fax(707) 544-6837
Sole ProprietorNo
Enumeration DateApril 19, 2010
NPI 1962728758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3440 AIRWAY DR, Santa Rosa, CA 95403

Other Names 1

Former Name (1)Miss Ellen Marie Heimann

Other Providers at the Same Location NPPES 17

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

Counselor
3440 AIRWAY DR, SUITE E
SANTA ROSA, CA 95403
Marriage & Family Therapist
3440 AIRWAY DR, SUITE E
SANTA ROSA, CA 95403
Counselor
3440 AIRWAY DR, SUITE E
SANTA ROSA, CA 95403
Counselor
3440 AIRWAY DR, SUITE E
SANTA ROSA, CA 95403
Counselor
3440 AIRWAY DR, SUITE E
SANTA ROSA, CA 95403
Marriage & Family Therapist
3440 AIRWAY DR, SUITE E
SANTA ROSA, CA 95403
Counselor
3440 AIRWAY DR, SUITE E
SANTA ROSA, CA 95403
Marriage & Family Therapist
3440 AIRWAY DR
SANTA ROSA, CA 95403

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 Ellen Sullivan's NPI number?

The NPI number for Ellen Sullivan is 1962728758. It was assigned to this individual provider in the NPPES registry on April 19, 2010. The provider is also known as Miss Ellen Marie Heimann.

Where is Ellen Sullivan located?

Ellen Sullivan practices at 3440 Airway Dr Suite E, Santa Rosa, CA 95403. The listed phone number is (707) 544-3299.

What is Ellen Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ellen Sullivan was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.