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

Tracy Lynn Sullivan, LCPC

Individual provider Mental Health Counselor · NPI 1114531738

Tracy Lynn Sullivan, LCPC is a Mental Health Counselor in Kalispell, Montana. Qualified in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
14
Licensed in
MT
In the registry since
2020
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

723 5th Ave E Unit B14
Kalispell, MT 59901-5321
Phone: (406) 351-6334
Fax: (406) 300-0426
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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 BBH-LCPC-LIC-18990 (MT)

Record details

NPI number1114531738
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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