Edison Sullivan, LPC
NPI 1346056413 · Mental Health Counselor · Van Buren, AR
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edison Sullivan, LPC is a Mental Health Counselor provider in Van Buren, AR (NPI 1346056413).
Provider details
- NPI number
- 1346056413
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- P2411018 (AR)
Specialties & taxonomies
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
1 yr 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
- 2024-12-04
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Frequently asked questions
- What is Edison Sullivan's NPI number?
- Edison Sullivan's National Provider Identifier (NPI) is 1346056413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edison Sullivan's specialty?
- Edison Sullivan is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Edison Sullivan located?
- Edison Sullivan's practice location on file with NPPES is 3909 Highway 282, Van Buren, AR 72956-8718.
- What is Edison Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Edison Sullivan is (479) 242-1003.
- Does Edison Sullivan accept Medicare?
- Edison Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edison Sullivan's NPI active?
- Yes — Edison Sullivan's NPI (1346056413) is active in the NPPES registry as of the last update on 2024-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.