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

Dina Josif Sullivan

Individual provider Professional Counselor · NPI 1528629367

Dina Josif Sullivan is a Mental Health Counselor in Baltimore, Maryland. Qualified in 2014, 12 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2019
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Practice location Address checks out

2903 Fallstaff Rd Unit 107
Baltimore, MD 21209-3555
Phone: (410) 615-9019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC9572 (MD)

Record details

NPI number1528629367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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