P Praxis·MD
● Active Type 1 · Individual

Melanie F. Sullivan, LMFT

Marriage & Family Therapist·Shelley, ID· NPI 1336221605 · Enumerated 2006 · 19 years on NPI
Sullivan is 1 of 1 marriage & family therapist providers in Shelley and 1 of 343 in Idaho.
NPI age
19 years
Enumerated 2006-10-19
Primary specialty
Marriage & Family Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-09-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 343 active marriage & family therapist providers in Idaho.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
697 N 900 E
Shelley, ID 832745208
📞 2086046019
Mailing address
697 N 900 E
Shelley, ID 832745208
📞 2086046019

Specialties

  • Marriage & Family Therapist Primary
    A 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...
    ID license #4156 taxonomy 106H00000X

Identifiers

TypeValueNotes
05 (ID) 6105145

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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