NPI age
14 years
Enumerated 2011-06-13
● Active Type 2 · Organization
Sullivan Mental Health Services Llc
Sullivan Mental Health Services Llc is 1 of 93 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sullivan
Owner/therapist
Last NPPES update
2011-11-30
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
14 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
660 S Woodruff Ave
Idaho Falls, ID 834015299
Mailing address
660 S Woodruff Ave
Idaho Falls, ID 834015299
Authorized official
Jessie Elaine Sullivan, LCPC LMFT
Owner/therapist
📞 2085231558
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Lisa Kishiyama, LMSW Counselor NPI 1982999074
- Jessie Sullivan, LCPC,LMFT Counselor NPI 1063674786
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.