PHILIP SULLIVAN LLMSW
NPI 1619769544
Counselor - Addiction (Substance Use Disorder) in Jenison, MI

Q: What is Philip Sullivan's NPI number?

The NPI number for Philip Sullivan is 1619769544. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Q: What is Philip 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 Philip Sullivan was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 19, 2025

1342 BALDWIN ST, JENISON, MI 49428(231) 535-2822 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Philip Sullivan Llmsw NPPES

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

PHILIP SULLIVAN LLMSW (NPI 1619769544) is an individual addiction (substance use disorder) provider in Jenison, Michigan and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1619769544

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NamePHILIP SULLIVANCredential: LLMSW

Location Address1342 BALDWIN STJenison, MI 49428-8937

Mailing Address2329 Center StBoyne Falls, MI 49713-9268

Phone(231) 535-2822

Sole ProprietorNo

Enumeration DateMay 19, 2025

NPPES CertifiedMay 19, 2025

✔ NPI 1619769544 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

1342 BALDWIN ST, Jenison, MI 49428

Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

ZOE GREENACRE CCAR

Case Manager/Care Coordinator

1342 BALDWIN ST
JENISON, MI 49428

Ottawa County (231) 535-2822

JORDAN HIGBY

Peer Specialist

1342 BALDWIN ST
JENISON, MI 49428

Ottawa County (231) 535-2822

JESSE JOHNSON

Peer Specialist

1342 BALDWIN ST
JENISON, MI 49428

Ottawa County (231) 535-2822

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 Philip Sullivan's NPI number?

The NPI number for Philip Sullivan is 1619769544. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Philip Sullivan located?

Philip Sullivan practices at 1342 Baldwin St, Jenison, MI 49428. The listed phone number is (231) 535-2822.

What is Philip Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Philip Sullivan was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.