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

Tina Marie Sullivan

Individual provider Mental Health Counselor · NPI 1447850342

Tina Marie Sullivan is a Mental Health Counselor in Council Bluffs, Iowa. Qualified in 1999, 27 years ago. Practices with Family Connections Inc, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
27
Licensed in
IA
In the registry since
2020
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Practice location Address checks out

500 Willow Ave Ste 305
Council Bluffs, IA 51503-0807
Phone: (712) 256-4420
Fax: (712) 256-4423
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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 101697 (IA)

Record details

NPI number1447850342
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2020
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Family Connections Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Council Bluffs