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Active NPI 1831609809 Individual Practitioner Female Practitioner

Kim Sullivan , MA, LPC, RPT, NCC

Counselor - Professional • Round Rock, TX

Professional Overview & Biography Verified Profile Summary

Kim Sullivan, MA, LPC, RPT, NCC is a registered healthcare professional specializing in Counselor - Professional in Round Rock, TX. Practice services are available at 10A CHISHOLM TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10a Chisholm Trl

Round Rock, TX 78681

Telephone 9293527529
Fax 7374436081
Associated Practice Facility / Clinic
🏢 Heart And Soul Counseling Pllc Facility NPI 1679083570

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Round Rock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
228 Specialists

Practicing in Round Rock, TX (21203 Statewide)

Telehealth Adoption Rate
5.3% 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

CMS Verified: 2024-09-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 74561

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01-3803413 (TX)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 17, 2018

Registered at 10A CHISHOLM TRL, ROUND ROCK, TX 78681 (Tel: 9293527529)

📍
Updated Business Mailing Address August 17, 2018

Registered at 10A CHISHOLM TRL, ROUND ROCK, TX 786815043 (Tel: 9293527529)

👤
Provider Name / Credentials Updated August 17, 2018

Recorded as KIM SULLIVAN, MA, LPC, RPT, NCC

✅
NPI Profile Active October 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2017

Registered at 104 W MAIN ST STE E, PFLUGERVILLE, TX 786602775 (Tel: 9293527529)

📍
Updated Business Mailing Address October 04, 2017

Registered at 104 W MAIN ST STE E, PFLUGERVILLE, TX 786602775 (Tel: 9293527529)

👤
Provider Name / Credentials Updated October 04, 2017

Recorded as KIM SULLIVAN, MA, LPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2017

Counselor (License #74561 in TX)

🟢
Initial NPI Registration & Enumeration October 04, 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: 1831609809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2017
Last Update: September 24, 2024
Sole Proprietor: No
Update or Correct Profile

Mailing Address

10a Chisholm Trl

Round Rock, TX 786815043

Phone: 9293527529

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.