Ms Jessie Elaine Sullivan, LCPC,LMFT - Counselor in Idaho Falls, ID

Ms Jessie Elaine Sullivan, LCPC,LMFT is a Counselor - Mental Health based in Idaho Falls, Idaho. Ms Jessie Elaine Sullivan is licensed to practice in Idaho (license number LCPC-119) and her current practice location is 660 S Woodruff Ave, Idaho Falls, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 523-1558.

NPI number for Ms Jessie Elaine Sullivan is 1063674786 and her current mailing address is 3785 Colts Glen Ln, Idaho Falls, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063674786.

Contact Information

Ms Jessie Elaine Sullivan, LCPC,LMFT
660 S Woodruff Ave,
Idaho Falls, ID 83401-5299
(208) 523-1558
(208) 529-4788

Healthcare Provider's Profile

Full NameMs Jessie Elaine Sullivan
GenderFemale
SpecialityCounselor - Mental Health
Location660 S Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063674786
  • Provider Enumeration Date: 06/25/2008
  • Last Update Date: 06/16/2011

Medical Identifiers

Medical identifiers for Ms Jessie Elaine Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063674786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LCPC-119 (Idaho)Primary
106H00000XMarriage & Family Therapist LMFT-2963 (Idaho)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jessie Elaine Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jessie Elaine Sullivan, LCPC,LMFT
3785 Colts Glen Ln,
Idaho Falls, ID 83404-8353

Ph: (208) 524-2411
Ms Jessie Elaine Sullivan, LCPC,LMFT
660 S Woodruff Ave,
Idaho Falls, ID 83401-5299

Ph: (208) 523-1558

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› Verified 4 days ago


Counselor in Idaho Falls, ID

Desiree Jenks-asay, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401
Phone: 208-542-0352    
Steven Orme, LCSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402
Phone: 208-351-1447    
Mr. Jorge Padron, CADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 543 3rd St, Idaho Falls, ID 83401
Phone: 208-522-6925    Fax: 208-522-6934
Zachary Wixom, LMSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402
Phone: 208-528-5712    
Jennie R Nelson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 E 16th St, Idaho Falls, ID 83404
Phone: 208-523-6727    
Mr. Richard A Troyer, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3760 Washington Pkwy, Idaho Falls, ID 83404
Phone: 208-524-4953    Fax: 208-524-7335
Kirk Thiemann,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 115 E 16th St, Idaho Falls, ID 83404
Phone: 208-523-6727    

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