Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica C. Sullivan LCSW, PLLC

Organization Mental Health Counselor · NPI 1811532385

Jessica C. Sullivan LCSW, PLLC is a Mental Health Counselor in Monroe, New York. Works from 4 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

360 State Route 17M Ste 4
Monroe, NY 10950-3444
Phone: (845) 547-0479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1997 Route 17m Ste 2, Goshen, NY 10924-5230 — (845) 547-0479
  • 236 Crystal Run Rd Ste 5, Middletown, NY 10941-4060 — (845) 547-0479
  • 2 Overlook Dr Apt 2, Warwick, NY 10990-1810 — (845) 547-0479

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1811532385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Sullivan — Owner · (845) 547-0479
Other names Nourish Your Mind Counseling & Psychotherapy
NPI enumeratedNovember 8, 2019
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address360 State Route 17m Ste 4, Monroe, NY 10950-3444

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