MIRIAM LIZETTE SULLIVAN MA, LCPC
NPI 1740568385
Counselor - Professional in Chicago, IL

Active since August 01, 2011
10725 S WESTERN AVE, 2ND FLOOR, CHICAGO, IL 60643(708) 691-2497 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miriam Lizette Sullivan Ma, Lcpc NPPES

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

MIRIAM LIZETTE SULLIVAN MA, LCPC (NPI 1740568385) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.007775) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1740568385
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIRIAM LIZETTE SULLIVANCredential: MA, LCPC
Location Address10725 S WESTERN AVE, 2ND FLOORChicago, IL 60643-3135
Mailing Address6848 W 114th PlWorth, IL 60482-2015 · (708) 691-2497
Sole ProprietorYes
Enumeration DateAugust 1, 2011
Last NPPES UpdateFebruary 3, 2017
NPI 1740568385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.007775
10725 S WESTERN AVE, Chicago, IL 60643

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.

Marriage & Family Therapist
10725 S WESTERN AVE
CHICAGO, IL 60643
Counselor (Mental Health)
10725 S WESTERN AVE
CHICAGO, IL 60643
Psychologist (Clinical)
10725 S WESTERN AVE
CHICAGO, IL 60643
Counselor (Mental Health)
10725 S WESTERN AVE
CHICAGO, IL 60643
Clinic/Center (Mental Health (Including Community Mental Health Center))
10725 S WESTERN AVE
CHICAGO, IL 60643
Counselor (Professional)
10725 S WESTERN AVE
CHICAGO, IL 60643
Community/Behavioral Health
10725 S WESTERN AVE
CHICAGO, IL 60643
Marriage & Family Therapist
10725 S WESTERN AVE
CHICAGO, IL 60643

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 Miriam Sullivan's NPI number?

The NPI number for Miriam Sullivan is 1740568385. It was assigned to this individual provider in the NPPES registry on August 1, 2011.

Where is Miriam Sullivan located?

Miriam Sullivan practices at 10725 S Western Ave 2nd Floor, Chicago, IL 60643. The listed phone number is (708) 691-2497.

What is Miriam Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Miriam Sullivan was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.