Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235506981 Individual Practitioner Female Practitioner

Miranda L Sullivan

Counselor • Marion, IL

Professional Overview & Biography Verified Profile Summary

Miranda Sullivan is a registered healthcare professional specializing in Counselor in Marion, IL. Practice services are available at 1307 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1307 W Main St

Marion, IL 629591139

Telephone 8556083560
Fax 6189932969
Associated Practice Facility / Clinic
🏢 Centerstone Of Illinois, Inc Facility NPI 1386969533

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
82 Specialists

Practicing in Marion, IL (3897 Statewide)

Telehealth Adoption Rate
1.2% 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

CMS Verified: 2021-01-29
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Heather Sims

Counselor - Addiction (Substance Use Disorder)

NPI 1003192261
NPI 1003506395

Bachelor of Arts

Jodi Bradley , ADN, RN

Registered Nurse

NPI 1003616095

ADN, Registered Nurse

Lisa Koegler , MS, LCPC

Counselor - Mental Health

NPI 1013233659

Master of Science, Licensed Clinical Professional Counselor

Darlene Richerson

Case Manager/Care Coordinator

NPI 1023394566
Bridgett Holder , MSW, MHP

Counselor - Mental Health

NPI 1023531589

Master of Social Work, Mental Health Practitioner

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location January 29, 2021

Registered at 1307 W MAIN ST, MARION, IL 629591139 (Tel: 8556083560)

NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2015

Registered at 902 W MAIN ST, WEST FRANKFORT, IL 628962210 (Tel: 6189376483)

📍
Updated Business Mailing Address August 28, 2015

Registered at 902 W MAIN ST, WEST FRANKFORT, IL 628962210 (Tel: 6189376483)

👤
Provider Name / Credentials Updated August 28, 2015

Recorded as MIRANDA SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Counselor

🟢
Initial NPI Registration & Enumeration August 28, 2015

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: 1235506981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2015
Last Update: January 29, 2021
Sole Proprietor: No

Mailing Address

902 W Main St

West Frankfort, IL 628962210

Phone: 6189376483

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.