Susan Bull-Welch, LCPC
Individual provider Active NPI Professional Counselor · Silvis, IL
NPI 1497864334 · NPPES record last updated Apr 14, 2026
Key facts
- NPI
- 1497864334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180-003750 (IL)
- Practice address
- 855 Illini Dr Ste 403
Silvis, IL 61282-2904 - Phone
- (309) 281-2410
- Fax
- (309) 281-2419
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-003750 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sue Bull-Welch, PC | Professional | Current | Accepting new patients |
| Southpark Psychology LTD | Professional | Past |
Accepting new patients |
Locations
855 Illini Dr
Ste 403
Silvis, IL 61282
Phone (309) 281-2410
Interoperability endpoints
- https://api.platform.athenahealth.com/5847/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-003750 | IL | Yes |
Addresses
Primary practice location
855 Illini Dr Ste 403
Silvis, IL 61282-2904
Mailing address
855 Illini Dr Ste 403
Silvis, IL 61282-2904
Phone (309) 281-2410
Other names
- Sue Bull-Welch
Other providers in Silvis, IL
- Brahma R Konda, MD PC
- Cindy Elizabeth Brill
- Sheri E Brinser
- Stephanie Bromir
- Lindsey Brost
- James A Bull
- Michael A Burchett
- Christopher James Callahan
- Carbon Cliff Barstow SCH Dist
- Jonathan M Carr
All providers in Silvis, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.