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

MS. Jessie Elaine Sullivan, LCPC, LMFT

Individual provider Mental Health Counselor · NPI 1063674786

MS. Jessie Elaine Sullivan, LCPC, LMFT is a Mental Health Counselor in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2008
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

660 S Woodruff Ave
Idaho Falls, ID 83401-5299
Phone: (208) 523-1558
Fax: (208) 529-4788
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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 LCPC-119 (ID)
Marriage & Family Therapist Taxonomy 106H00000X · Licence LMFT-2963 (ID)

Record details

NPI number1063674786
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , LMFT
Sole proprietorYes
NPI enumeratedJune 25, 2008
Last updated in NPPESJune 16, 2011

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