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

Nell Sundra

Individual provider Mental Health Counselor · NPI 1457002529

Nell Sundra is a Mental Health Counselor in Sullivan, Illinois. Qualified in 2023, 3 years ago. Registered with an NPI since 2022.

Years since qualifying
3
In the registry since
2022
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Practice location Address checks out

12 W Harrison St
Sullivan, IL 61951-1907
Phone: (217) 728-4358
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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

Record details

NPI number1457002529
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2022
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022
Mailing address12 W Harrison St, Sullivan, IL 61951-1907

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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