SEAN SULLIVAN MS LCPC NCC LLC
NPI 1205628682
Counselor - Professional in Rockford, IL
About Sean Sullivan Ms Lcpc Ncc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN SULLIVAN MS LCPC NCC LLC (NPI 1205628682) is a healthcare organization registered as a professional in Rockford, Illinois and active in the NPI registry since May 2025. The organization lists Sean Sullivan, Licensed Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sean Sullivan Ms Lcpc Ncc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sean Sullivan Ms Lcpc Ncc LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sean Sullivan Ms Lcpc Ncc LLC's NPI number?
The NPI number for Sean Sullivan Ms Lcpc Ncc LLC is 1205628682. It was assigned to this organization in the NPPES registry on May 20, 2025.
Where is Sean Sullivan Ms Lcpc Ncc LLC located?
Sean Sullivan Ms Lcpc Ncc LLC is located at 1639 N Alpine Rd Ste 403, Rockford, IL 61107. The listed phone number is (815) 661-5848.
What is Sean Sullivan Ms Lcpc Ncc LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sean Sullivan Ms Lcpc Ncc LLC enrolled in Medicare?
Yes. Sean Sullivan Ms Lcpc Ncc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sean Sullivan Ms Lcpc Ncc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Sean Sullivan Ms Lcpc Ncc LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sean Sullivan Ms Lcpc Ncc LLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Sean Sullivan Ms Lcpc Ncc Llc · NPI 1205628682
Professional organization in Rockford, Illinois. Organization record, active in the CMS NPPES registry since May 20, 2025.
## Identity
- **NPI:** 1205628682 (Entity type: Organization)
- **Enumerated:** May 20, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Sean Sullivan, LICENSED COUNSELOR
## Practice location
- **Address:** 1639 N ALPINE RD STE 403, Rockford, IL 61107-1440
- **Phone:** (815) 661-5848
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205628682) · Data from the CMS NPPES public registry.