KELLEY SULLIVAN NPI 1508737768

NPI Information

  • NPI: 1508737768
  • Provider Name: KELLEY SULLIVAN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1600 OAK ST
    EUGENE, OR
    ZIP 97401
  • Phone: (541) 600-2034

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NPI Details

Kelley Sullivan is a mental health counselor in Eugene, OR. Kelley Sullivan NPI is 1508737768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 OAK ST
EUGENE, OR
ZIP 97401-041
Phone: (541) 600-2034

The enumeration date for this NPI number is 9/12/2025 and was last updated on 9/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthR11924OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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