Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366796237 Individual Practitioner Male Practitioner

Keith Sullivan

Counselor • Monroe, NC

Professional Overview & Biography Verified Profile Summary

Keith Sullivan is a registered healthcare professional specializing in Counselor in Monroe, NC. Practice services are available at 1190 ROOSEVELT BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1190 Roosevelt Blvd

Monroe, NC 281102818

Telephone 7042966200
Fax 7042964668
Associated Practice Facility / Clinic
🏢 Daymark Recovery Services Inc Facility NPI 1063567238

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Monroe, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
66 Specialists

Practicing in Monroe, NC (1907 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 Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carolyn Hicks

Counselor

NPI 1003151275
NPI 1003256520
NPI 1013244920

Certified Substance Abuse Counselor

Sharon Posey

Counselor

NPI 1013252287
Sarah Hersey , RN

Registered Nurse

NPI 1013290758

Registered Nurse

Lisa Krieger

Counselor

NPI 1023327863

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 31, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2012

Registered at 1190 ROOSEVELT BLVD, MONROE, NC 281102818 (Tel: 7042966200)

📍
Updated Business Mailing Address October 31, 2012

Registered at 284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 280251831 (Tel: 7049391100)

👤
Provider Name / Credentials Updated October 31, 2012

Recorded as KEITH SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2012

Counselor

🟢
Initial NPI Registration & Enumeration October 31, 2012

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: 1366796237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2012
Last Update: October 31, 2012
Sole Proprietor: No

Mailing Address

284 Executive Park Dr, Suite 100

Concord, NC 280251831

Phone: 7049391100

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.