SEAN SULLIVAN (MS, LCPC) – Mental Health Counselor, NPI 1922743228

SEAN SULLIVAN (MS, LCPC) is a healthcare provider. based in Machesney park, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LCPC. They hold a License No. 180.017031 (IL). The NPI Number for SEAN SULLIVAN (MS, LCPC) is 1922743228

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SEAN SULLIVAN (MS, LCPC)
NPI
1922743228
Phone
Not provided
Address
9853 N ALPINE RD # 129
Enumeration Date
2 May 2022
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156615848
Graduation Year
2021 (5 years ago)
PAC ID
4981119880
Professional Enrollment ID
I20250710004179
Address ID
IL611071440RO1639XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for SEAN SULLIVAN (MS, LCPC)

  • 9853 N ALPINE RD # 129

    MACHESNEY PARK, IL 611151681

    Phone:

    Type: Mailing

  • 7315 N ALPINE RD STE H

    LOVES PARK, IL 611111804

    Phone: (815) 558-7135

    Type: Location

  • 1639 N ALPINE RD STE 403

    ROCKFORD, IL 611071440

    Phone:

    Type: Mailing

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: 2025-07-10

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
I20250710004179IMental 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 61115)

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Reviews

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Frequently asked questions

What identifier follows SEAN SULLIVAN (MS, LCPC) across health systems?
The NPI 1922743228 uniquely identifies SEAN SULLIVAN (MS, LCPC) in U.S. healthcare data.
Does the public listing show SEAN SULLIVAN (MS, LCPC) as active?
SEAN SULLIVAN (MS, LCPC)'s NPI record reflects an active status in NPPES.
What does the directory say SEAN SULLIVAN (MS, LCPC) does?
Insurance directories may phrase it differently, but here SEAN SULLIVAN (MS, LCPC) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to SEAN SULLIVAN (MS, LCPC)?
SEAN SULLIVAN (MS, LCPC) shows a connection to Machesney Park, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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