NPI age
17 years
Enumerated 2008-06-25
● Active
Type 1 · Individual
MS. Jessie Elaine Sullivan, LCPC,LMFT
Sullivan is 1 of 138 counselor providers in Idaho Falls and 1 of 1998 in Idaho.
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-06-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1998 active counselor providers in Idaho.
NPI age
17 years
↑ 10 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
660 S Woodruff Ave
Idaho Falls, ID 834015299
Mailing address
3785 Colts Glen Ln
Idaho Falls, ID 834048353
Specialties
-
Counselor PrimaryDefinition to come...
-
Marriage & Family TherapistA marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new counselor providers have been added in Idaho Falls in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.