1. Home
  2. Directory
  3. Washington
  4. Kelso
  5. Counselor
  6. NPI Profile

MARY KATHLEEN SULLIVAN M.A.
NPI 1982140893
Counselor - Mental Health in Kelso, WA

Active since January 16, 2017
309 OAK ST, KELSO, WA 98626(360) 577-7442(360) 577-7904 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Kathleen Sullivan M.a. NPPES

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

MARY KATHLEEN SULLIVAN M.A. (NPI 1982140893) is an individual mental health provider in Kelso, Washington, licensed in Washington (CG 60673859) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1982140893
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY KATHLEEN SULLIVANCredential: M.A.
Location Address309 OAK STKelso, WA 98626-2340
Mailing AddressPo Box 1077Kelso, WA 98626-0111 · (360) 577-7442 · Fax (360) 577-7904
Phone(360) 577-7442
Fax(360) 577-7904
Sole ProprietorNo
Enumeration DateJanuary 16, 2017
✔ NPI 1982140893 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 WA · CG 60673859
309 OAK ST, Kelso, WA 98626
Open in Google Maps ↗

Other Names 1

Other Name (5)Kate Sullivan M.a.

Other Providers at the Same Location NPPES 3

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

C & R EXECUTIVES, LLC
Counselor (Addiction (Substance Use Disorder))
309 OAK ST
KELSO, WA 98626
Cowlitz County (360) 577-7442
MR. PAUL ALLEN WELK AS,CDP
Counselor (Addiction (Substance Use Disorder))
309 OAK ST
KELSO, WA 98626
Cowlitz County (360) 577-7442
SHANNON DWAYNE KRETZ AA, CDPT
Counselor
309 OAK ST
KELSO, WA 98626
Cowlitz County (360) 423-0203

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 Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1982140893. It was assigned to this individual provider in the NPPES registry on January 16, 2017. The provider is also known as Kate Sullivan M.A..

Where is Mary Sullivan located?

Mary Sullivan practices at 309 Oak St, Kelso, WA 98626. The listed phone number is (360) 577-7442.

What is Mary Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Sullivan was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.