| Piper Sullivan, MA, LPC | |
|
517 W Shenandoah St, Roseburg, OR 97471-2566 | |
| (541) 580-0525 | |
| (541) 672-4272 |
| Full Name | Piper Sullivan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 517 W Shenandoah St, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831248491 | NPI | - | NPPES |
| C3182 | Other | OR | LPC - OREGON |
| 500659547 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C3182 (Oregon) | Primary |
| 101YM0800X | Counselor - Mental Health | C3182 (Oregon) | Secondary |
| Entity Name | Umpqua Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396751772 PECOS PAC ID: 0345233078 Enrollment ID: O20040511000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Piper Sullivan, MA, LPC 517 W Shenandoah St, Roseburg, OR 97471-2566 Ph: (541) 580-0525 | Piper Sullivan, MA, LPC 517 W Shenandoah St, Roseburg, OR 97471-2566 Ph: (541) 580-0525 |
Hanna Rae Culbertson, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 3031 Ne Stephens St, Roseburg, OR 97470 Phone: 541-229-7089 Fax: 541-229-9908 | |
Elisabeth Erin Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Se Jackson St, Roseburg, OR 97470 Phone: 541-464-6660 | |
Mr. Dale Edward Williams, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554 | |
Emily Tucker, LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 | |
Inger C Boyd, MA ED., BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554 | |
Mae L Hoopes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642 | |
Julie Connors, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 |