MONICA MARIE SULLIVAN (LCPC) – Mental Health Counselor, NPI 1780108720

MONICA MARIE SULLIVAN (LCPC) is a healthcare provider. based in Evanston, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180016430 (IL). The NPI Number for MONICA MARIE SULLIVAN (LCPC) is 1780108720

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MONICA MARIE SULLIVAN (LCPC)
NPI
1780108720
Phone
(847) 570-2040
Address
2650 RIDGE AVE STE 1223
Enumeration Date
1 August 2017
Last Update Date
15 November 2024

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
9931634391
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20241121002111
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for MONICA MARIE SULLIVAN (LCPC)

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Fax: (847) 570-5315

    Type: Mailing

  • 1331 W 75TH ST STE 202

    NAPERVILLE, IL 605409311

    Phone: (630) 305-3025

    Fax: (630) 904-7378

    Type: Location

  • 2345, 22nd Avenue, Broadview, Proviso Township, Cook County, Illinois, 60155, United States

    BROADVIEW, IL 601553804

    Phone:

    Type: Mailing

  • Windsor Avenue, Lavergne, Berwyn, Cook County, Illinois, 60402, United States

    BERWYN, IL 604023334

    Phone: (708) 995-3798

    Type: Location

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: 2024-11-21

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
I20241121002111IMental 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 60201)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What unique ID ties claims to MONICA MARIE SULLIVAN (LCPC)?
NPI 1780108720 is assigned to MONICA MARIE SULLIVAN (LCPC) under the national enumeration system.
Does this profile mean MONICA MARIE SULLIVAN (LCPC) is currently active?
Yes — MONICA MARIE SULLIVAN (LCPC) appears active in the national provider directory.
Does MONICA MARIE SULLIVAN (LCPC) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for MONICA MARIE SULLIVAN (LCPC). Clinical services aligned with this taxonomy classification.
Where is MONICA MARIE SULLIVAN (LCPC)'s primary listing?
We display Evanston, Illinois because that is what the record indicates for MONICA MARIE SULLIVAN (LCPC).
What if Evanston, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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