Active NPI
Daniel Ryan O'Sullivan, MACC, LCMHCA
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1669160024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A18632
- Practice address
- 2036 E 7TH St
Charlotte, NC 28204-3336 - Phone
- (704) 334-0524
- NPI assigned
- Apr 25, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A18632 | NC | Primary |
Addresses
Primary practice location
2036 E 7TH St
Charlotte, NC 28204-3336
Mailing address
2036 E 7TH St
Charlotte, NC 28204-3336
Phone (704) 334-0524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 7, 2025 through Aug 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A18632 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1669160024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043336",
"telephone_number": "704-334-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043336",
"telephone_number": "704-334-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SULLIVAN",
"first_name": "DANIEL",
"middle_name": "RYAN",
"credential": "MACC, LCMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-25",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A18632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.