Theodore Sullivan, LMHC, LCPC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39005758A Issued in IN

Practice address

1487 N Brummitt Rd
Chesterton, IN 46304-8710

Phone

(219) 386-3296

NPI assigned

Mar 7, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Teddy Sullivan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1730947599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 N BRUMMITT RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 N BRUMMITT RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463048710",
            "telephone_number": "219-386-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "THEODORE",
        "credential": "LMHC, LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39005758A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "101056",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.018283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEDDY",
            "last_name": "SULLIVAN",
            "credential": "LMHC, LCPC, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vanessa Stevens
• Andrea S Stone, PSYD
• Jennifer Stout
• Hannah Sucku, RBT
• Dolores Sullivan, RBT
• Summit Counseling LLC
• Sunil Patel MD. P.C.
• Karen V Sutherland, LMFT
• Sabiha Syed
• Symphony of Chesterton LLC

• Mental Health Counselor in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.