Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982905105 Individual Practitioner Male Practitioner

Kyle Robert Sullivan

Counselor - Mental Health • Kennewick, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kyle Sullivan is a certified Counselor - Mental Health practicing in Kennewick, WA. With approximately 29 years of clinical experience since completing medical education in 1997, Kyle Sullivan delivers high-quality medical care to the local community at 2635 W DESCHUTES AVE.

Kyle Sullivan is affiliated with Mindful Therapy Group Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

2635 W Deschutes Ave

Kennewick, WA 993363004

Telephone 5097830500
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Kennewick, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +10.2 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
179 Specialists

Practicing in Kennewick, WA (18563 Statewide)

Telehealth Adoption Rate
2.2% 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. Sullivan (29 Years) 29 Yrs
Kennewick Specialty Average (18.8 Years) 18.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-21
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License WA LH60032254

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Hospital & Practice Group Affiliations

Mindful Therapy Group Pc

6505 216th St Sw, Mountlake Terrace, WA 980432089

Phone: 4256407009

Practice Associates & Co-Workers

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

30 Associated Practitioners
Kathy Mills-George

Social Worker

NPI 1003083171
Tara Symons , LICSWA

Social Worker - Clinical

NPI 1003220658
Shane Brewer

Counselor - Mental Health

NPI 1023526621
Avel Diaz , BA

Counselor - Mental Health

NPI 1043744642

Bachelor of Arts

Rachelle Sims

Counselor - Mental Health

NPI 1053893008
Maritza Alvarez

Counselor - Mental Health

NPI 1073070629

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2010

Registered at 2635 W DESCHUTES AVE, KENNEWICK, WA 993363004 (Tel: 5097830500)

📍
Updated Business Mailing Address November 04, 2010

Registered at 4703 SHORELINE CT, PASCO, WA 993019091 (Tel: 5095454312)

👤
Provider Name / Credentials Updated November 04, 2010

Recorded as KYLE SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2010

Counselor

🟢
Initial NPI Registration & Enumeration November 04, 2010

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: 1982905105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2010
Last Update: April 21, 2025
Sole Proprietor: No

Mailing Address

4703 Shoreline Ct

Pasco, WA 993019091

Phone: 5095454312

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.