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KYLE ROBERT SULLIVAN
NPI 1982905105
Counselor - Mental Health in Kennewick, WA

Active since November 04, 2010PECOS EnrolledAccepts Medicare Assignment
2635 W DESCHUTES AVE, KENNEWICK, WA 99336(509) 783-0500 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Robert Sullivan NPPES

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

KYLE ROBERT SULLIVAN (NPI 1982905105) is an individual mental health provider in Kennewick, Washington, licensed in Washington (LH60032254) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1982905105
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKYLE ROBERT SULLIVAN
Location Address2635 W DESCHUTES AVEKennewick, WA 99336-3004
Mailing Address4703 Shoreline CtPasco, WA 99301-9091 · (509) 545-4312
Phone(509) 783-0500
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 4, 2010
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1982905105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60032254
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2635 W DESCHUTES AVE, Kennewick, WA 99336
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Robert Sullivan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850890708
PECOS Enrollment IDI20250818002079
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 10

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

BENTON & FRANKLIN COUNTIES CRISIS RESPONSE UNIT
Clinic/Center (Mental Health (Including Community Mental Health Center))
2635 W DESCHUTES AVE
KENNEWICK, WA 99336
Benton County (509) 783-0500
BENTON-FRANKLIN COUNTIES-CRISIS REPONSE UNIT
Community/Behavioral Health
2635 W DESCHUTES AVE
KENNEWICK, WA 99336
Benton County (509) 783-0500
BENTON & FRANKLIN COUNTIES SUBSTANCE ABUSE ASSESSMENT CENTER
Community/Behavioral Health
2635 W DESCHUTES AVE
KENNEWICK, WA 99336
Benton County (509) 735-2704
BENTON FRANKLIN COUNTY CRISIS RESPONSE UNIT
Community/Behavioral Health
2635 W DESCHUTES AVE
KENNEWICK, WA 99336
Benton County (509) 783-0500
MR. ANTHONY LYNN LARSEN LMHC
Counselor (Mental Health)
2635 W DESCHUTES AVE
KENNEWICK, WA 99336
Benton County (509) 783-0500
BENTON FRANKLIN CRISIS RESPONSE UNIT
Community/Behavioral Health
2635 W DESCHUTES AVE
KENNEWICK, WA 99336
Benton County (509) 783-0500
MS. SANDRA LEA KNIGHTON CDP
Counselor (Addiction (Substance Use Disorder))
2635 W DESCHUTES AVE
KENNEWICK, WA 99336
Benton County (509) 735-2704
MRS. GLORIA CALDWELL CRISIS COUNSELOR
Counselor (Mental Health)
2635 W DESCHUTES AVE
KENNEWICK, WA 99336
Benton County (509) 783-0500

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 Kyle Sullivan's NPI number?

The NPI number for Kyle Sullivan is 1982905105. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Where is Kyle Sullivan located?

Kyle Sullivan practices at 2635 W Deschutes Ave, Kennewick, WA 99336. The listed phone number is (509) 783-0500.

What is Kyle Sullivan's specialty?

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

Is Kyle Sullivan enrolled in Medicare?

Yes. Kyle Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Sullivan accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Kyle Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Sullivan was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.