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MIRANDA L SULLIVAN
NPI 1235506981
Counselor in Marion, IL

Active since August 28, 2015
1307 W MAIN ST, MARION, IL 62959(855) 608-3560(618) 993-2969 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miranda L Sullivan NPPES

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

MIRANDA L SULLIVAN (NPI 1235506981) is an individual counselor in Marion, Illinois and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1235506981
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMIRANDA L SULLIVAN
Location Address1307 W MAIN STMarion, IL 62959-1139
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440
Phone(855) 608-3560
Fax(618) 993-2969
Sole ProprietorNo
Enumeration DateAugust 28, 2015
Last NPPES UpdateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1235506981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1307 W MAIN ST, Marion, IL 62959
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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.

MRS. HEATHER SIMS
Counselor (Addiction (Substance Use Disorder))
1307 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5336
TAYLOR THRASHER BA
Counselor
1307 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5336
MS. DARLENE RICHERSON
Case Manager/Care Coordinator
1307 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5336
CALI THOMAS BA
Counselor
1307 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5336
CLIFTON BLAKE SPIRES
Counselor
1307 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5336
KATHY TAYLOR MA
Counselor
1307 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5336
HANNAH ELIZABETH JONES BSW, CRADC
Counselor (Addiction (Substance Use Disorder))
1307 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5336
JAXON BARTHELME
Counselor
1307 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-5336

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 Miranda Sullivan's NPI number?

The NPI number for Miranda Sullivan is 1235506981. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Miranda Sullivan located?

Miranda Sullivan practices at 1307 W Main St, Marion, IL 62959. The listed phone number is (855) 608-3560.

What is Miranda Sullivan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Miranda Sullivan was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.