Active NPI
Deborah Anne Sullivan, MS REHAB COUNSELING
- Professional Counselor
- Anna, IL
National Provider Identifier
1881924264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-007278
- Practice address
- 204 South Street
Anna, IL 62906-0548 - Phone
- (618) 833-8551
- NPI assigned
- Jan 6, 2010
- Last updated
- Jan 6, 2010
- Sex
- Female
- 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 | 180-007278 | IL | Primary |
Addresses
Primary practice location
204 South Street
Anna, IL 62906-0548
Mailing address
PO Box 548
204 South Street Union County Counseling Services, Inc.
Anna, IL 62906-0548
Phone (618) 833-8551
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-007278 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1881924264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"address_2": "204 SOUTH STREET UNION COUNTY COUNSELING SERVICES, INC.",
"city": "ANNA",
"state": "IL",
"postal_code": "629060548",
"telephone_number": "618-833-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 SOUTH STREET",
"city": "ANNA",
"state": "IL",
"postal_code": "629060548",
"telephone_number": "618-833-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"credential": "MS REHAB COUNSELING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-007278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.