Active NPI
Daniel R. Sullivan, M.A., L.P.C.
- Professional Counselor
- Chicago, IL
National Provider Identifier
1649548595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.007752
- Practice address
- 655 W Irving Park Rd
Suite #204
Chicago, IL 60613-3123 - Phone
- (773) 528-1777
- NPI assigned
- Dec 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.007752 | IL | Primary |
Addresses
Primary practice location
655 W Irving Park Rd
Suite #204
Chicago, IL 60613-3123
Mailing address
655 W Irving Park Rd
Suite #204
Chicago, IL 60613-3123
Phone (773) 528-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.007752 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1649548595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W IRVING PARK RD",
"address_2": "SUITE #204",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133123",
"telephone_number": "773-528-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W IRVING PARK RD",
"address_2": "SUITE #204",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133123",
"telephone_number": "773-528-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "DANIEL",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-07",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.007752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.