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

Richard John Sullivan Jr.

Individual provider Mental Health Counselor · NPI 1497488001

Richard John Sullivan Jr. is a Mental Health Counselor in Santa Cruz, California. Qualified in 2023, 3 years ago. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Phone: (831) 469-1700
Fax: (831) 425-1905
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 14953 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1497488001
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

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

Other providers in Santa Cruz