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Active NPI 1295269504 Individual Practitioner Female Practitioner

Krystle Lynn Sullivan , LPC

Counselor - Professional • Windham, CT

Professional Overview & Biography Verified Profile Summary

Krystle Sullivan, LPC is a registered healthcare professional specializing in Counselor - Professional in Windham, CT. Practice services are available at 66 ANNA MARIA LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

66 Anna Maria Ln

Windham, CT 062801350

Telephone 8603689964

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Windham, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Windham, CT (2870 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CT 003137

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active April 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2017

Registered at 66 ANNA MARIA LN, WINDHAM, CT 062801350 (Tel: 8603689964)

📍
Updated Business Mailing Address April 13, 2017

Registered at 66 ANNA MARIA LN, WINDHAM, CT 062801350 (Tel: 8603689964)

👤
Provider Name / Credentials Updated April 13, 2017

Recorded as KRYSTLE SULLIVAN, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Counselor (License #003137 in CT)

🟢
Initial NPI Registration & Enumeration April 13, 2017

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: 1295269504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2017
Last Update: April 13, 2017
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

66 Anna Maria Ln

Windham, CT 062801350

Phone: 8603689964

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.