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

Kenisha Sullivan, LPC

Individual provider Professional Counselor · NPI 1437831328

Kenisha Sullivan, LPC is a Mental Health Counselor in Havertown, Pennsylvania. Qualified in 2019, 7 years ago. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1120 W Township Line Rd Ste 200
Havertown, PA 19083-4930
Phone: (484) 451-8313
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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 PC019492 (PA)

Record details

NPI number1437831328
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address3111 W Allegheny Ave Apt 327, Philadelphia, PA 19132-1134

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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