Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003527706 Individual Practitioner Male Practitioner

Jonathan Sullivan , PRSS

Peer Specialist • Saint Albans, WV

Professional Overview & Biography Verified Profile Summary

Jonathan Sullivan, PRSS is a registered healthcare professional specializing in Peer Specialist in Saint Albans, WV. Practice services are available at 2333 MACCORKLE AVE STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2333 Maccorkle Ave Ste 201

Saint Albans, WV 251772074

Telephone 3047660060
Associated Practice Facility / Clinic
🏢 Ten Up Ministries, Inc Facility NPI 1609362391

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Saint Albans, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
59 Specialists

Practicing in Saint Albans, WV (921 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: 2022-12-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Brandy Eddy

Peer Specialist

NPI 1003538661
Tekoa Terry , PRSS

Peer Specialist

NPI 1013780212
Pamela Hall

Peer Specialist

NPI 1033808415
Lindsey Lanham , PRSS

Peer Specialist

NPI 1043944929
Teresa Justice , PRSS

Peer Specialist

NPI 1053294488
Tracey Goddard , PRSS

Peer Specialist

NPI 1063357952

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2022

Registered at 2333 MACCORKLE AVE STE 201, SAINT ALBANS, WV 251772074 (Tel: 3047660060)

📍
Updated Business Mailing Address December 13, 2022

Registered at 2333 MACCORKLE AVE STE 201, SAINT ALBANS, WV 251772074 (Tel: 3047660060)

👤
Provider Name / Credentials Updated December 13, 2022

Recorded as JONATHAN SULLIVAN, PRSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration December 13, 2022

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: 1003527706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2022
Last Update: December 13, 2022
Sole Proprietor: No

Mailing Address

2333 Maccorkle Ave Ste 201

Saint Albans, WV 251772074

Phone: 3047660060

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.