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

Jeffrey Sullo, LPC

Individual provider Professional Counselor · NPI 1508292475

Jeffrey Sullo, LPC is a Mental Health Counselor in Bethany, Connecticut. Qualified in 2014, 12 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2013
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

27 Green Hill Rd
Bethany, CT 06524-3324
Phone: (203) 931-5621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3074 (CT)

Record details

NPI number1508292475
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 23, 2013
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address27 Green Hill Rd, Bethany, CT 06524-3324

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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