Paul Michael Sullivan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009216 Issued in MI

Practice address

5397 Howard Rd
Petoskey, MI 49770-8815

Phone

(231) 225-9030

Fax

(231) 225-9026

NPI assigned

Jul 28, 2009

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Recovery, PLC

  • Professional Counselor
  • Petoskey, MI
  • NPI 1275087751
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1427289347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5397 HOWARD RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708815",
            "telephone_number": "231-225-9030",
            "fax_number": "231-225-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5397 HOWARD RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708815",
            "telephone_number": "231-225-9030",
            "fax_number": "231-225-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Joseph Stringer, D.D.S.
• Bryan T Stump, DMD
• Michele Sturt, CFNP
• Drew E Styma, ATC
• Joseph P Sullivan, M.D., PH.D.
• Susan JS Malone, DDS, PC
• Susan M Hoffman LMSW LLC
• Susan M. Hoffman
• Marissa Sweeney, LPC
• Ayriss Ann Swenor, DC

• Professional Counselor in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.