Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215585542 Individual Practitioner Male Practitioner

Timothy W Sullivan

Counselor • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Timothy Sullivan is a registered healthcare professional specializing in Counselor in Olympia, WA. Practice services are available at 711 STATE AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 State Ave Ne

Olympia, WA 985063984

Telephone 3609430780
Associated Practice Facility / Clinic
🏢 Community Youth Services Facility NPI 1386997138

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
423 Specialists

Practicing in Olympia, WA (11556 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

CMS Verified: 2022-04-20
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG61302453

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.

Counselor

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013474030
Amber Moir

Counselor

NPI 1013616838
Kristen Smulovitz , LICSW

Social Worker - Clinical

NPI 1043152242

Licensed Independent Clinical Social Worker

NPI 1073154589
NPI 1073201315
Harrison Bly

Counselor

NPI 1073386884

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 20, 2022

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609430780)

📍
Updated Business Mailing Address April 20, 2022

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609430780)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2022

Counselor

NPI Profile Active August 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2019

Registered at 9 S DAYTON ST, KENNEWICK, WA 993363843 (Tel: 5099475661)

📍
Updated Business Mailing Address August 29, 2019

Registered at 9 N WAVERLY PL APT 303, KENNEWICK, WA 993363270 (Tel: 5099475661)

👤
Provider Name / Credentials Updated August 29, 2019

Recorded as TIMOTHY SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2019

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration August 29, 2019

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: 1215585542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2019
Last Update: April 20, 2022
Sole Proprietor: Yes

Mailing Address

711 State Ave Ne

Olympia, WA 985063984

Phone: 3609430780

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.