MR. BRADY SULLIVAN


Address: 5859 S Kingshighway Blvd Fl 1, Saint Louis, MO 63109-3571
Phone: 3146696242

MR. BRADY SULLIVAN (NPI# 1497244115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497244115
Entity Type Individual
Full Name MR. BRADY SULLIVAN
Credential PLPC
Practice Address 5859 S Kingshighway Blvd Fl 1
Saint Louis
MO 63109-3571
Mailing Address 934 Quail Terrace Ct Apt E
Ballwin
MO 63021-8321
Practice Telephone 3146696242
Mailing Telephone 6308858663
Enumeration Date 2018-05-08
Last Update Date 2018-05-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 2018014894 MO Behavioral Health & Social Service Providers

Office Location

Street Address 5859 S KINGSHIGHWAY BLVD FL 1
City SAINT LOUIS
State MO
Zip Code 63109-3571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033626981 Christina Warden Counselor 5859 S Kingshighway Blvd Fl 1, Saint Louis, MO 63109-3571 2018-01-01
1144792003 Lauren N Thayer Counselor 5859 S Kingshighway Blvd Fl 1, Saint Louis, MO 63109-3571 2018-12-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013431907 James Edward Trout Community Health Worker 3956 Wenzlick Ave, St Louis, MO 63109 2017-08-01
1750815023 Andrea Hyde Nurse Practitioner 5302 Chippewa Street, Suite 301, St Louis, MO 63109 2017-04-13
1215362124 Alex Sharifian Dds Francis Park Dentistry PC Dentist 6650 Chippewa Street, Saint Louis, MO 63109 2013-09-10
1881993962 Rachel Elizabeth Hale Hasper Counselor 6555 Chippewa, St Louis, MO 63109 2011-03-15
1730369885 Janis Marie Lampa Physical Therapist 5203 Chippewa, Suite 301, St. Louis, MO 63109 2007-11-06
1285753772 James Matthew Jordan Occupational Therapist 32 Hampton Village Plaza, St Louis, MO 63109 2007-03-28
1730224478 Mercy Health Services, LLC Optometrist 34 Hampton Village Plaza, St. Louis, MO 63109 2007-02-20
1801959903 John Thomas Doyle Dentist 5400 Walsh St, St Louis, MO 63109 2006-12-19
1649339771 Residencial Services Corporation Assisted Living Facility 5890 Eichelberger, St Louis, MO 63109 2006-12-06
1316039852 Gary Raymond Rieser Dentist 3915 Watson Road, Suite 205, Saint Louis, MO 63109 2006-09-29
Find all providers in zip 63109

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548861644 Barbara Schuver Counselor 1709 Rosearbor Dr, Saint Louis, MO 63146-4724 2020-11-04
1255946356 Jessika Triplett Counselor 9909 Manchester Rd # 134, Saint Louis, MO 63122-1915 2020-09-15
1629689344 Jennifer Walsh Counselor 5704 Rosa Ave, Saint Louis, MO 63109-3256 2020-08-14
1952910408 Tiffany Wingo Counselor 4143 California Ave, Saint Louis, MO 63118-4507 2020-07-29
1952922528 Kevin Mcculloch Counselor 4100 Forest Park Ave Apt 423, Saint Louis, MO 63108-2897 2020-05-05
1659912954 Merrick Hughes Counselor 2800 Stoddard St Apt 201, Saint Louis, MO 63106-2211 2019-10-08
1821649757 John Lucas Counselor 200 S Bemiston Ave Ste 101, Saint Louis, MO 63105-1915 2019-09-23
1841840618 Christa Elizabeth Walker Counselor 12360 Manchester Rd Ste 100, Saint Louis, MO 63131-4312 2019-09-13
1477013944 Wonakee Terrisita Robinson Jr. Counselor 5950 Drury Ln, Saint Louis, MO 63147-1112 2019-03-21
1952884397 Marni A Deutsch Counselor 7751 Carondelet Ave Ste 600b, Saint Louis, MO 63105-4043 2018-09-12
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63109

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Dataset Information

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.

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