Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen Sullivan, LCPC

Individual provider Mental Health Counselor · NPI 1801564554

Stephen Sullivan, LCPC is a Mental Health Counselor in Chicago, Illinois. Qualified in 2018, 8 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2021
Specialties on file
4
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

3976 N Avondale Ave Fl 2
Chicago, IL 60641-2900
Phone: (312) 319-4162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180.016569 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 178.016354 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 178016354 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180.016569 (IL)

Record details

NPI number1801564554
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedAugust 30, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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