Jessie Sullivan, LCPC,LMFT
NPI 1063674786 · Mental Health Counselor · Idaho Falls, ID
Jessie Sullivan, LCPC,LMFT is a Mental Health Counselor provider in Idaho Falls, ID (NPI 1063674786).
Provider details
- NPI number
- 1063674786
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC,LMFT
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCPC-119 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2011-06-16
Frequently asked questions
- What is Jessie Sullivan's NPI number?
- Jessie Sullivan's National Provider Identifier (NPI) is 1063674786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessie Sullivan's specialty?
- Jessie Sullivan is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jessie Sullivan located?
- Jessie Sullivan's practice location on file with NPPES is 660 S Woodruff Ave, Idaho Falls, ID 83401-5299.
- What is Jessie Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Jessie Sullivan is (208) 523-1558.
- Is Jessie Sullivan's NPI active?
- Yes — Jessie Sullivan's NPI (1063674786) is active in the NPPES registry as of the last update on 2011-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.