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MICHAEL DANIEL SULLIVAN LICSW, CDGC
NPI 1063548139
Counselor - Mental Health in Norfolk, NE

Active since February 25, 2007PECOS EnrolledAccepts Medicare Assignment
110 N 37TH ST STE 301, NORFOLK, NE 68701(402) 750-7923 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2025, Jan 12, 2016 (2 updates tracked since 2016).

About Michael Daniel Sullivan Licsw, Cdgc NPPES

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

MICHAEL DANIEL SULLIVAN LICSW, CDGC (NPI 1063548139) is an individual mental health provider in Norfolk, Nebraska, licensed in Nebraska (1464) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1063548139
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL DANIEL SULLIVANCredential: LICSW, CDGC
Location Address110 N 37TH ST STE 301Norfolk, NE 68701-3283
Mailing Address110 N 37th St Ste 301Norfolk, NE 68701-3283 · (402) 750-7923
Phone(402) 750-7923
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 25, 2007
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1063548139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 1464
110 N 37TH ST STE 301, Norfolk, NE 68701
Open in Google Maps ↗

Other Identifiers 4

Other299363000NE · Magellan Mis
Other077785NE · Value Options
Other082537NE · Blue Cross
Other8721NE · Midlands Choice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Daniel Sullivan Licsw, Cdgc 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 ID9739347394
PECOS Enrollment IDI20120229000373
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michael Sullivan Counseling PC
0.1 mi
Mental Health
110 N 37TH ST STE 301
Norfolk, NE 68701
  • Reassigned Medicare billing, Nebraska enrollment
NPI 1568615128 (402) 750-7923

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

MR. KIRK R CARMICHAEL LIMHP
Counselor (Addiction (Substance Use Disorder))
110 N 37TH ST STE 301
NORFOLK, NE 68701
Madison County (402) 750-1222
GOOD TALK COUNSELING SERVICES,LLC
Counselor (Mental Health)
110 N 37TH ST STE 301
NORFOLK, NE 68701
Madison County (402) 649-5930
MICHAEL SULLIVAN COUNSELING PC
Counselor (Mental Health)
110 N 37TH ST STE 301
NORFOLK, NE 68701
Madison County (402) 750-7923
MS. STEPHANIE ANN ZAKRZEWSKI-GRUBB LIMHP, LADC
Counselor (Mental Health)
110 N 37TH ST STE 301
NORFOLK, NE 68701
Madison County (402) 302-2590
NICOLE TURNER BEARDSLEE COUNSELING LLC
Counselor (Mental Health)
110 N 37TH ST STE 301
NORFOLK, NE 68701
Madison County (402) 250-7925
CORNSILK - JOAN IWEN COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
110 N 37TH ST STE 301
NORFOLK, NE 68701
Madison County (402) 649-4936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Sullivan's NPI number?

The NPI number for Michael Sullivan is 1063548139. It was assigned to this individual provider in the NPPES registry on February 25, 2007.

Where is Michael Sullivan located?

Michael Sullivan practices at 110 N 37th St Ste 301, Norfolk, NE 68701. The listed phone number is (402) 750-7923.

What is Michael Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Sullivan enrolled in Medicare?

Yes. Michael Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sullivan reassigns Medicare benefits to Michael Sullivan Counseling PC (Norfolk, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and UnitedHealthcare list Michael Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Sullivan was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.