KYLE ROBERT SULLIVAN NPI 1982905105

NPI Information

  • NPI: 1982905105
  • Provider Name: KYLE ROBERT SULLIVAN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2635 W DESCHUTES AVE
    KENNEWICK, WA
    ZIP 99336
  • Phone: (509) 783-0500

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NPI Details

Kyle Robert Sullivan is a mental health counselor in Kennewick, WA with 29 years of experience. Kyle Robert Sullivan NPI is 1982905105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2635 W DESCHUTES AVE
KENNEWICK, WA
ZIP 99336-004
Phone: (509) 783-0500

The NPI 1982905105 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 4/21/2025.

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 HealthWASHINGTONNo
2172V00000XCommunity Health WorkerWASHINGTONNo
3101YM0800XCounselorMental HealthLH60032254WASHINGTONYes

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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