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

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
180-003750ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sue Bull-Welch, PC Professional Current Accepting new patients
Southpark Psychology LTD Professional Past
since Jan 1, 2013
Accepting new patients

Locations

855 Illini Dr
Ste 403
Silvis, IL 61282
Phone (309) 281-2410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5847/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Other providers in Silvis, IL

All providers in Silvis, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.