Kelly Colleen Sullivan, MA, PLMHP in Colorado Springs, CO

Kelly Colleen Sullivan, MA, PLMHP is a medicare enrolled "Counselor" provider in Colorado Springs, Colorado. Her current practice location is 6180 Lehman Dr, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 452-4803.

Kelly Colleen Sullivan is licensed to practice in Colorado (license number LPC.0019198) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902498785.

Contact Information

	Kelly Colleen Sullivan, MA, PLMHP
	6180 Lehman Dr, Colorado Springs, CO 80918-3444
	(719) 452-4803
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Colleen Sullivan
Gender	Female
Speciality	Counselor
Location	6180 Lehman Dr, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902498785
Provider Enumeration Date: 02/03/2021
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 8628427051
Enrollment ID: I20240122003007

Medical Identifiers

Medical identifiers for Kelly Colleen Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902498785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LPC.0019198 (Colorado)	Primary
101YP2500X	Counselor - Professional	12489 (Nebraska)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Colleen Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Mayfield Counseling Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588166144 PECOS PAC ID: 9739427352 Enrollment ID: O20190206001915

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. Kelly Colleen Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Colleen Sullivan, MA, PLMHP 25 Sommerlyn Rd Apt 1003, Colorado Springs, CO 80906-3406 Ph: (605) 890-1812	Kelly Colleen Sullivan, MA, PLMHP 6180 Lehman Dr, Colorado Springs, CO 80918-3444 Ph: (719) 452-4803

Reviews and Comments

Counselor in Colorado Springs, CO

Elizabeth Anne Beck, LPC CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd, Suite 206, Colorado Springs, CO 80917 Phone: 719-596-1530 Fax: 719-559-1130
Andrea Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Gold Pass Hts, Colorado Springs, CO 80906 Phone: 719-205-2671 Fax: 719-632-2342
Norma Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 179 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6300
Sheila Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340
Robert B. Wenzel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4360 Montebello Dr Ste 400, Colorado Springs, CO 80918 Phone: 719-593-9228 Fax: 719-598-1705
Dawn Zink, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4975 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-301-5488
Melissa Beth Smart, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1330 Inverness Dr Ste 400, Colorado Springs, CO 80910 Phone: 970-310-3406

Kelly Colleen Sullivan, MA, PLMHP - Medicare Counselor in Colorado Springs, CO