Maralissa A. Sullivan, MS
Mental Health Counselor · Fort Wayne, IN
Maralissa A. Sullivan, MS is a mental health counselor with a practice address in Fort Wayne, Indiana, and NPI 1700130267, issued on Nov 6, 2012. Check the license (Indiana 39002971A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Maralissa A. Sullivan
- Credential
- MS
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- 39002971A IN
Self-reported in NPPES; status is on the state search - Practice location
- PO Box 9012, Fort Wayne, IN 46899
- Phone
- (260) 676-0074
- Enumerated
- Nov 6, 2012
- Record last updated
- Apr 21, 2025
- Medicare enrollment
- Enrolled (PECOS I20250522002689); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 4,962 in Indiana → Look up another NPI →
Verify Maralissa A. Sullivan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 39002971ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Mental Health Specialty Group PAIndianapolis, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Maralissa A. Sullivan among 4,962 mental health counselor records in Indiana
Maralissa A. Sullivan, MS is one of 4,962 mental health counselor records with a practice address in Indiana. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 27% of them.
- NPI issued2012 · 27% of these records are older, 70% newer
- In a Medicare fileYes · 11% of these records are
- In the CMS Doctors and Clinicians fileYes · 16% of these records are
- Graduated2010 · median 2015 among the 807 with a school on file
- Record last updated2025 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
493 mental health counselor records list a practice address in Fort Wayne
They are 493 of the 9,203 NPPES records with a practice address in Fort Wayne, and 4,962 mental health counselor records in Indiana.
All 4,962 in Indiana → Every provider in Fort Wayne → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Elizabeth Barnett, LMHCKokomo, IN 469011679707145
- Leslie Douglass, LCSWKokomo, IN 469011710104559
- Gregory Hale, NCP, LMHCKokomo, IN 469011235244005
- Doris Kirkpatrick, M.A.Kokomo, IN 469011174807523
- Teri Merritt, MS.Kokomo, IN 469011033340617
- Chad Myers, LMFTKokomo, IN 469011952792418
- Tonya Prifogle, MA, NCC, LMHCKokomo, IN 469011952315244
- Melody Pyle, ACSW,LCSWKokomo, IN 469011396737284
Common questions
What is Maralissa A. Sullivan, MS's NPI number?
Maralissa A. Sullivan, MS's National Provider Identifier (NPI) is 1700130267, issued on Nov 6, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Maralissa A. Sullivan, MS located?
The NPPES record lists a practice address at PO Box 9012, Fort Wayne, IN, 46899. Phone: (260) 676-0074. Providers update this record themselves, so call before visiting.
How can I verify Maralissa A. Sullivan, MS's license?
NPPES lists Indiana license number 39002971A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.