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COLLEEN SULLIVAN LPC
NPI 1972358026
Counselor - Mental Health in Brick, NJ

Active since April 22, 2024PECOS Enrolled
74 BRICK BLVD STE 204, BRICK, NJ 08723(732) 832-3444 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2026, Apr 22, 2024 (2 updates tracked since 2024).

About Colleen Sullivan Lpc NPPES

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

COLLEEN SULLIVAN LPC (NPI 1972358026) is an individual mental health provider in Brick, New Jersey, licensed in New Jersey (37PC01226300) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hoboken, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972358026
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOLLEEN SULLIVANCredential: LPC
Location Address74 BRICK BLVD STE 204Brick, NJ 08723-7984
Mailing Address74 Brick Blvd Ste 204Brick, NJ 08723-7984 · (732) 832-3444
Phone(732) 832-3444
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2024
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1972358026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37PC01226300
74 BRICK BLVD STE 204, Brick, NJ 08723
Open in Google Maps ↗

Secondary Practice Location 1

Location 1221 River St Ste 9Hoboken, NJ 07030-5990 · Phone (646) 941-7645

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Sullivan Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234601600
PECOS Enrollment IDI20260702004532
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 Reassignments

2

Medicare enrollment records show Colleen Sullivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathways To Hope And Healing Counseling Services
5.8 mi
Adult Mental Health
3035 FIELDCREST LN
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1700716982 (732) 688-2861
Grow Healthcare Group Of New Jersey PC
50 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902

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 12

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

TYLIN TISSEKER
Social Worker
74 BRICK BLVD STE 204
BRICK, NJ 08723
Ocean County (732) 832-3444
JORDYN GILANYI MS, LAC
Counselor (Mental Health)
74 BRICK BLVD STE 204
BRICK, NJ 08723
Ocean County (732) 832-3444
RIANA HELENE MELILLO LSW
Social Worker
74 BRICK BLVD STE 204
BRICK, NJ 08723
Ocean County (732) 250-3320
LAUREN AMANDA UCLES
Nurse Practitioner (Psychiatric/Mental Health)
74 BRICK BLVD STE 204
BRICK, NJ 08723
Ocean County (732) 832-3444
SARAH DESANTIS LMSW
Social Worker
74 BRICK BLVD STE 204
BRICK, NJ 08723
Ocean County (732) 832-3444
SHANIA ELAINA BELTRAN
Social Worker
74 BRICK BLVD STE 204
BRICK, NJ 08723
Ocean County (732) 832-3444
JULIA K KAFFL LSW
Social Worker
74 BRICK BLVD STE 204
BRICK, NJ 08723
Ocean County (732) 832-3444
SAMANTHA MARIE FAUL LAC
Counselor (Professional)
74 BRICK BLVD STE 204
BRICK, NJ 08723
Ocean County (732) 832-3444

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 Colleen Sullivan's NPI number?

The NPI number for Colleen Sullivan is 1972358026. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Colleen Sullivan located?

Colleen Sullivan practices at 74 Brick Blvd Ste 204, Brick, NJ 08723. The listed phone number is (732) 832-3444.

What is Colleen Sullivan's specialty?

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

Is Colleen Sullivan enrolled in Medicare?

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

Which organizations bill Medicare for Colleen Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Sullivan reassigns Medicare benefits to 2 organizations: Pathways To Hope And Healing Counseling Services (Toms River, NJ) and Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). Each 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 Colleen 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 Colleen Sullivan was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.