Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851757371 Individual Practitioner Female Practitioner

Lori Sullivan

Counselor • Coos Bay, OR

Professional Overview & Biography Verified Profile Summary

Lori Sullivan is a registered healthcare professional specializing in Counselor in Coos Bay, OR. Practice services are available at 320 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 Central Ave
Suite 406

Coos Bay, OR 974202272

Telephone 5412690321
Associated Practice Facility / Clinic
🏢 Three Branches Clinic Pc Facility NPI 1114262284

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Coos Bay, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Coos Bay, OR (4551 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500400418 (OR)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Jenny Howland

Counselor

NPI 1225469083
Jennifer Tenney

Behavior Analyst

NPI 1346749496
Jessica Shields , BS

Behavior Analyst

NPI 1659881084

Bachelor of Science

Roger Langlie

Counselor

NPI 1730510645
John Ammon , MA, QMHP

Counselor - Professional

NPI 1831492099

Master of Arts, Qualified Mental Health Professional

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2016

Registered at 320 CENTRAL AVE, SUITE 406, COOS BAY, OR 974202272 (Tel: 5412690321)

📍
Updated Business Mailing Address January 13, 2016

Registered at 320 CENTRAL AVE, SUITE 406, COOS BAY, OR 974202272

👤
Provider Name / Credentials Updated January 13, 2016

Recorded as LORI SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2016

Counselor

🟢
Initial NPI Registration & Enumeration January 13, 2016

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: 1851757371
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2016
Last Update: January 13, 2016
Sole Proprietor: No

Mailing Address

320 Central Ave, Suite 406

Coos Bay, OR 974202272

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.