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

Map and Direction


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

Reviews and Comments


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