Active NPI 1508292475 Individual Practitioner Male Practitioner

Jeffrey Sullo , LPC

Counselor - Professional • Bethany, CT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jeffrey Sullo, LPC is a certified Counselor - Professional practicing in Bethany, CT. With approximately 12 years of clinical experience since completing medical education in 2014, Jeffrey Sullo delivers high-quality medical care to the local community at 27 GREEN HILL RD.

Jeffrey Sullo accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

27 Green Hill Rd

Bethany, CT 065243324

Telephone 2039315621

Associated Practice Facility / Clinic

🏢 The Well Christian Counseling, Llc Facility NPI 1578151221

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bethany, CT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -9.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 16.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Bethany, CT (2870 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sullo (12 Years) 12 Yrs

Bethany Specialty Average (21.0 Years) 21.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-11-13

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CT 3074

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

👤

Provider Name / Credentials Updated November 13, 2020

Recorded as JEFFREY SULLO, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2020

Counselor (License #3074 in CT)

✅

NPI Profile Active September 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2013

Registered at 27 GREEN HILL RD, BETHANY, CT 065243324 (Tel: 2039315621)

📍

Updated Business Mailing Address September 23, 2013

Registered at 27 GREEN HILL RD, BETHANY, CT 065243324 (Tel: 2039315621)

👤

Provider Name / Credentials Updated September 23, 2013

Recorded as JEFFREY SULLO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration September 23, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508292475

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 23, 2013

Last Update: November 13, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

27 Green Hill Rd

Bethany, CT 065243324

Phone: 2039315621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.