Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kyle Robert Sullivan

Individual provider Mental Health Counselor · NPI 1982905105

Kyle Robert Sullivan is a Mental Health Counselor in Kennewick, Washington. Qualified in 1997, 29 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
29
Licensed in
WA
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

2635 W Deschutes Ave
Kennewick, WA 99336-3004
Phone: (509) 783-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH60032254 (WA)
Mental Health Counselor Taxonomy 101YM0800X (WA)
Community Health Worker Taxonomy 172V00000X (WA)

Record details

NPI number1982905105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2010
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Mindful Therapy Group PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 646 clinicians in the practice; 12 are shown here.

Other providers in Kennewick