NPIMap

Organization Active NPI

Michael C. Sullivan & Associates

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1962546325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-00004412 Issued in IL
Legal business name
MICHAEL C. SULLIVAN & ASSOCIATES
Practice address
2200 S Main St
Suite 309
Lombard, IL 60148-5334
Phone
(630) 705-0067
Fax
(630) 705-0473
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Charles Sullivan, LCPC,CADC
Title
Counselor
Phone
(630) 705-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180-00004412 IL Primary

Addresses

Primary practice location

2200 S Main St
Suite 309
Lombard, IL 60148-5334

Mailing address

2200 S Main St
Suite 309
Lombard, IL 60148-5334
Phone (630) 705-0067

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962546325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "address_2": "SUITE 309",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485334",
            "telephone_number": "630-705-0067",
            "fax_number": "630-705-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "address_2": "SUITE 309",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485334",
            "telephone_number": "630-705-0067",
            "fax_number": "630-705-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. SULLIVAN & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "630-705-0067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC,CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-00004412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.