MR. DANIEL ALLEN SULLIVAN JR. M.ED.
NPI 1013264605
Counselor - Addiction (Substance Use Disorder) in Lowell, MA

Q: What is Daniel Sullivan's NPI number?

The NPI number for Daniel Sullivan is 1013264605. It was assigned to this individual provider in the NPPES registry on August 14, 2012.

Q: What is Daniel Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Sullivan was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2012PECOS EnrolledAccepts Medicare Assignment

161 JACKSON ST, LOWELL, MA 01852(978) 937-9700 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Daniel Allen Sullivan Jr. M.ed. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DANIEL ALLEN SULLIVAN JR. M.ED. (NPI 1013264605) is an individual addiction (substance use disorder) provider in Lowell, Massachusetts and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lynn, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1013264605

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. DANIEL ALLEN SULLIVAN JR.Credential: M.ED.

Location Address161 JACKSON STLowell, MA 01852-2103

Mailing Address161 Jackson StLowell, MA 01852-2103 · (978) 937-9700

Phone(978) 937-9700

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 14, 2012

Last NPPES UpdateJune 14, 2023

NPPES CertifiedJune 14, 2023

✔ NPI 1013264605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

161 JACKSON ST, Lowell, MA 01852

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Secondary Practice Location 1

Location 111 Circle AveLynn, MA 01905-3050 · Phone (781) 595-2413 · Fax (781) 598-0210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Daniel Allen Sullivan Jr. M.ed. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961849039

PECOS Enrollment IDI20240325002809

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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