{"npi":"1982960431","type":"NPI-1","status":"active","name":{"display":"Mandy Sullivan Lpc","other":[],"first":"MANDY","last":"SULLIVAN","credential":"LPC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"CT","license":"002169"}]},"addresses":[{"purpose":"LOCATION","street_1":"635 MAIN ST","city":"MIDDLETOWN","state":"CT","postal_code":"064572718","country_code":"US","phone":"8603476971","fax":"8607048034"},{"purpose":"MAILING","street_1":"575 MAIN ST FL 2","city":"MIDDLETOWN","state":"CT","postal_code":"064572845","country_code":"US","street_2":"ATTN: CREDENTIALING DPT","phone":"8603476971"}],"license":{"state":"CT","number":"002169"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"004236338","state":"CT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240111004439","type_code":"33-E2","type_desc":"ORDER AND REFERRING ONLY - MENTAL HEALTH COUNSELOR","state":"CT","pac_id":"5395196562"}]},"enumeration_date":"2012-04-10","last_updated":"2012-04-10","_meta":{"source":"NPPES","snapshot_date":"2012-04-10","doc_url":"https://findmynpi.com/api"}}