STEPHEN SULLIVAN LCPC
NPI 1801564554
Counselor - Mental Health in Chicago, IL

Active since August 30, 2021PECOS EnrolledAccepts Medicare Assignment
3976 N AVONDALE AVE FL 2, CHICAGO, IL 60641(312) 319-4162 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Dec 27, 2024 (2 updates tracked since 2024).

About Stephen Sullivan Lcpc NPPES

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

STEPHEN SULLIVAN LCPC (NPI 1801564554) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180.016569) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801564554
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHEN SULLIVANCredential: LCPC
Location Address3976 N AVONDALE AVE FL 2Chicago, IL 60641-2900
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (630) 428-7890
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 30, 2021
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1801564554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in IL · 180.016569 Licensed in IL · 178.016354 Licensed in IL · 178016354
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.016569 (IL)
3976 N AVONDALE AVE FL 2, Chicago, IL 60641

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephen Sullivan Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608395082
PECOS Enrollment IDI20250529000652
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 9

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

Social Worker
3976 N AVONDALE AVE FL 2
CHICAGO, IL 60641
Counselor (Professional)
3976 N AVONDALE AVE FL 2
CHICAGO, IL 60641
Social Worker
3976 N AVONDALE AVE FL 2
CHICAGO, IL 60641
Social Worker (Clinical)
3976 N AVONDALE AVE FL 2
CHICAGO, IL 60641
Social Worker
3976 N AVONDALE AVE FL 2
CHICAGO, IL 60641
Counselor (Mental Health)
3976 N AVONDALE AVE FL 2
CHICAGO, IL 60641
Counselor (Professional)
3976 N AVONDALE AVE FL 2
CHICAGO, IL 60641
Counselor (Professional)
3976 N AVONDALE AVE FL 2
CHICAGO, IL 60641

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 Stephen Sullivan's NPI number?

The NPI number for Stephen Sullivan is 1801564554. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Stephen Sullivan located?

Stephen Sullivan practices at 3976 N Avondale Ave Fl 2, Chicago, IL 60641. The listed phone number is (312) 319-4162.

What is Stephen Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephen Sullivan enrolled in Medicare?

Yes. Stephen Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephen Sullivan was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.