Kerry Sullivan Counseling PLLC
NPI 1760341770ActiveOrganization· Counselor, Mental Health· Waterloo, IA
Counselor, Mental Health in Waterloo, Iowa, registered in NPPES in January 2026. The authorized official on file is Jen Wollum, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760341770 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2026 |
| Last updated in NPPES | Jan 16, 2026 |
| Certified by provider | Jan 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
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