ASHLEY SULLIVAN (NPI# 1013292630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013292630 |
| Entity Type | Individual |
| Full Name | ASHLEY SULLIVAN |
| Other Name | ASHLEY SHELTON |
| Credential | LCSW |
| Practice Address |
712 Se Hawthorne Blvd Portland OR 97214-3538 |
| Practice Telephone | 5039542188 |
| Practice Fax Number | 5033278005 |
| Mailing Telephone | 5039542188 |
| Mailing Fax Number | 5033278005 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2019-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742816 | Ashley Sullivan I | Occupational Therapist | N58w24552 Raven Ct, Sussex, WI 53089-5050 | 2019-04-05 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1619406345 | Ashley Christine Sullivan | Dentist | 5525 Georgetown Rd Ste B, Indianapolis, IN 46254-3717 | 2017-06-06 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1679522130 | Ashley H. Sullivan | Dentist | 4820 Asheville Hwy, Knoxville, TN 37914-4252 | 2006-05-10 |
| 1881208577 | Ashley Sullivan | Behavior Technician | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2020-09-01 |
| 1669093456 | Ashley Sullivan | Counselor | 460 Quincy Ave, Quincy, MA 02169-8130 | 2020-05-03 |
| 1902333222 | Ashley Rose Sullivan | Counselor | 701 Jefferson Ave Ste 101, Toledo, OH 43604-6956 | 2017-05-17 |
| 1346789641 | Ashley Lynn Sullivan | Pharmacist | 400 W Harding Rd, Springfield, OH 45504-1707 | 2017-02-20 |
| 1699128298 | Ashley Sullivan | Physician Assistant | 15 Roche Bros Way, North Easton, MA 02356-1000 | 2016-07-19 |
| Street Address |
712 SE HAWTHORNE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689909301 | Katharine Elizabeth Fazal | Counselor | 712 Se Hawthorne Blvd, Portland, OR 97214-3538 | 2009-10-14 |
| 1528413176 | Family Ground Counseling LLC | Community/Behavioral Health | 712 Se Hawthorne Blvd, Portland, OR 97214-3538 | 2016-05-02 |
| 1306210307 | Amy Colleen Sanders | Counselor | 712 Se Hawthorne Blvd, Portland, OR 97214-3538 | 2015-11-15 |
| 1891124087 | Julianne R Chapman | Social Worker | 712 Se Hawthorne Blvd, Portland, OR 97214-3538 | 2013-11-07 |
| 1407284953 | Bridge City Counseling LLC | Counselor | 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538 | 2013-10-19 |
| 1114364205 | Shelley Mclendon | Counselor | 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538 | 2013-05-29 |
| 1114218880 | Priscilla Klockner | Counselor | 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538 | 2011-04-28 |
| 1598071805 | Jessica Teresa Loehndorf Hutchison | Marriage & Family Therapist | 712 Se Hawthorne Blvd, Suite 100, Portland, OR 97214-3538 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.