Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740568385 Individual Practitioner Female Practitioner

Miriam Lizette Sullivan , MA, LCPC

Counselor - Professional • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Miriam Sullivan, MA, LCPC is a registered healthcare professional specializing in Counselor - Professional in Chicago, IL. Practice services are available at 10725 S WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10725 S Western Ave
2nd Floor

Chicago, IL 606433135

Telephone 7086912497
Associated Practice Facility / Clinic
🏢 Kristine Olivas Facility NPI 1013154129

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
2437 Specialists

Practicing in Chicago, IL (9683 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.007775

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Eric Lindquist

Counselor - Mental Health

NPI 1083058812
Pete Hardy

Counselor - Professional

NPI 1275075632
Ryan Alderman , LMFT

Marriage & Family Therapist

NPI 1295013126

Licensed Marriage and Family Therapist

Dennis Klacko , MA, LCPC, NCC

Counselor - Addiction (Substance Use Disorder)

NPI 1295198141

Master of Arts, Licensed Clinical Professional Counselor, National Certified Counselor

NPI 1306866132

Licensed Clinical Professional Counselor, Certified Alcohol and Drug Counselor

NPI 1346372315

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2017

Registered at 10725 S WESTERN AVE, 2ND FLOOR, CHICAGO, IL 606433135 (Tel: 7086912497)

📍
Updated Business Mailing Address February 03, 2017

Registered at 6848 W 114TH PL, WORTH, IL 604822015 (Tel: 7086912497)

👤
Provider Name / Credentials Updated February 03, 2017

Recorded as MIRIAM SULLIVAN, MA, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Counselor (License #180.007775 in IL)

NPI Profile Active August 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2011

Registered at 1414 MAIN ST, MELROSE PARK, IL 601603902 (Tel: 7086810073)

📍
Updated Business Mailing Address August 01, 2011

Registered at 1414 MAIN ST, MELROSE PARK, IL 601603902 (Tel: 7086810073)

👤
Provider Name / Credentials Updated August 01, 2011

Recorded as MIRIAM LOPEZ, MA, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2011

Counselor (License #180.007775 in IL)

🟢
Initial NPI Registration & Enumeration August 01, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740568385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2011
Last Update: February 03, 2017
Sole Proprietor: Yes

Mailing Address

6848 W 114th Pl

Worth, IL 604822015

Phone: 7086912497

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.