MARISA SULLIVAN (LCPC) – Mental Health Counselor, NPI 1609232701

MARISA SULLIVAN (LCPC) is a healthcare provider. based in Arlington heights, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180007151 (IL). The NPI Number for MARISA SULLIVAN (LCPC) is 1609232701

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MARISA SULLIVAN (LCPC)
NPI
1609232701
Phone
Not provided
Address
3325 N ARLINGTON HEIGHTS RD
Enumeration Date
6 January 2016
Last Update Date
6 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479819200228
Graduation Year
2003 (23 years ago)
PAC ID
1355790163
Group Practice PAC ID
1052369865
Professional Enrollment ID
I20240229003556
Address ID
IL600566036MT1660XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MARISA SULLIVAN (LCPC)

  • 3325 N ARLINGTON HEIGHTS RD

    SUITE 400B

    ARLINGTON HEIGHTS, IL 600041582

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240229003556IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052369865View full group profile
NameSpecialtyState
-IL
-IL
Mental Health CounselorIL
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

Does MARISA SULLIVAN (LCPC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARISA SULLIVAN (LCPC) uses 1609232701.
Is MARISA SULLIVAN (LCPC) still practicing?
MARISA SULLIVAN (LCPC) is currently listed as active in the public NPI registry.
What is MARISA SULLIVAN (LCPC)'s specialty?
The listing groups MARISA SULLIVAN (LCPC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for MARISA SULLIVAN (LCPC)?
MARISA SULLIVAN (LCPC)'s geographic hint is Arlington Heights, Illinois in our summary view.
Is the information about MARISA SULLIVAN (LCPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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