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

Jordan Michael Sullivan

Individual provider Counselor · NPI 1083199434

Jordan Michael Sullivan is a Counselor in Roseville, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
7
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Practice location Address checks out

1520 Eureka Rd Ste 102
Roseville, CA 95661-2849
Phone: (916) 759-1168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1083199434
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 2, 2018
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

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