| Ann Ellen Sullivan, | |
|
237 Creekside Office Dr, Wentzville, MO 63385-3290 | |
| (636) 202-1412 | |
| (636) 201-3379 |
| Full Name | Ann Ellen Sullivan |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 237 Creekside Office Dr, Wentzville, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720412455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6286 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | 2019046362 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Mental Health, Llc | 0345670733 | 27 |
| Entity Name | Alliance Mental Health, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053602649 PECOS PAC ID: 0345670733 Enrollment ID: O20200427002009 |
| Entity Name | Alliance Mental Health Community Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679145486 PECOS PAC ID: 1355790437 Enrollment ID: O20231214002219 |
| Entity Name | Alliance Mental Health - Colorado LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205580040 PECOS PAC ID: 6507211075 Enrollment ID: O20260311002886 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Ellen Sullivan, 2 Macon Ct, Lake St Louis, MO 63367-1226 Ph: (903) 357-9642 | Ann Ellen Sullivan, 237 Creekside Office Dr, Wentzville, MO 63385-3290 Ph: (636) 202-1412 |
Pamela Elaine Crismon, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Dr, Suite 109, Wentzville, MO 63385 Phone: 636-327-1183 |
Mrs. Debra Lynn Cates, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Medical Dr, Wentzville, MO 63385 Phone: 314-344-6700 Fax: 314-644-6198 |
Sandra Cunningham, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 E Main St, Wentzville, MO 63385 Phone: 636-362-4138 |
Lowell Lawrence Fry Jr., LPC, MA Counselor Medicare: Accepting Medicare Assignments Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-445-7161 |
Rebecca Kay Wallace, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 888-403-1071 |
Marilyn Parsons, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 844-853-8937 |
Danielle Marie Nichole High, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 888-403-1071 |