NICOLE M SULLIVAN LMFT
NPI 1982301271
Marriage & Family Therapist in Philadelphia, PA

Q: What is Nicole Sullivan's NPI number?

The NPI number for Nicole Sullivan is 1982301271. It was assigned to this individual provider in the NPPES registry on February 8, 2023. The provider is also known as Nicole Mastracchio Lmft.

Q: What is Nicole Sullivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Sullivan was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 08, 2023PECOS Enrolled

510 WALNUT ST STE 1425, PHILADELPHIA, PA 19106(610) 892-3800(484) 468-1412 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nicole M Sullivan Lmft NPPES

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

NICOLE M SULLIVAN LMFT (NPI 1982301271) is an individual marriage & family therapist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MF001484) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1982301271

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameNICOLE M SULLIVANCredential: LMFT

Location Address510 WALNUT ST STE 1425Philadelphia, PA 19106-3622

Mailing Address510 Walnut St Ste 1425Philadelphia, PA 19106-3622 · (610) 892-3800 · Fax (484) 468-1412

Phone(610) 892-3800

Fax(484) 468-1412

Sole ProprietorNo

Enumeration DateFebruary 8, 2023

Last NPPES UpdateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1982301271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in PA · MF001484

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

510 WALNUT ST STE 1425, Philadelphia, PA 19106

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Other Names 1

Former Name (1)Nicole Mastracchio Lmft

Secondary Practice Location 1

Location 1400 Market St Ste 720Philadelphia, PA 19106-2545 · Phone (610) 892-3800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole M Sullivan Lmft 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 5

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

KYERSTYN O'HARA LCSW

Social Worker (Clinical)