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

MS. Tina J Sullivan, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760126619

MS. Tina J Sullivan, LPC is a Mental Health Counselor in Ocean Springs, Mississippi. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2022
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

609 Washington Ave
Ocean Springs, MS 39564-4633
Phone: (662) 251-3245
Show map & directions

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

Additional practice locations (1)

  • 912 Convent Ave Ste 2, Pascagoula, MS 39567-4334 — (228) 712-5077

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 3015 (MS)

Record details

NPI number1760126619
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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