DANIEL JAMES SULLIVAN
NPI 1427791615
Counselor in Holland, MI

Q: What is Daniel Sullivan's NPI number?

The NPI number for Daniel Sullivan is 1427791615. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Q: What is Daniel Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Sullivan was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 15, 2022PECOS Enrolled

388 GARDEN AVE STE 110, HOLLAND, MI 49424(616) 222-0631(616) 222-0631 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Daniel James Sullivan NPPES

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

DANIEL JAMES SULLIVAN (NPI 1427791615) is an individual counselor in Holland, Michigan, licensed in Michigan (6851104339) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427791615

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameDANIEL JAMES SULLIVAN

Location Address388 GARDEN AVE STE 110Holland, MI 49424-8999

Mailing Address388 Garden Ave Ste 110Holland, MI 49424-8999 · (815) 685-8562

Phone(616) 222-0631

Fax(616) 222-0631

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 15, 2022

NPPES CertifiedApril 11, 2022

✔ NPI 1427791615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6851104339

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.

388 GARDEN AVE STE 110, Holland, MI 49424

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel James Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870072325

PECOS Enrollment IDI20260205001824

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 7

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

BILLING ALLIANCE LLC

Counselor (Mental Health)