Mary Lou Sull, PCC-S,LSW,LICDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

991499 Issued in OH

Practice address

14843 W Sprague Rd Ste a
Strongsville, OH 44136-1754

Phone

(440) 234-9955

Fax

(440) 234-5994

NPI assigned

Nov 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strongsville Psychological Services, Inc.

  • Mental Health Counselor
  • Middleburg Heights, OH
  • NPI 1942347661
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346316106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 MOLLAND DR",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442126415",
            "telephone_number": "330-225-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 W SPRAGUE RD STE A",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441361754",
            "telephone_number": "440-234-9955",
            "fax_number": "440-234-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULL",
        "first_name": "MARY LOU",
        "name_prefix": "Mrs.",
        "credential": "PCC-S,LSW,LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0002000",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "991499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strongsville Physical Therapy
• Strongsville Podiatry LLC
• Strongsville Vista Operations, LLC
• Jessica Christine Stroud, PA-C
• Sierra Stypa, LISW
• Lucas Allen Summers, DC
• Supersonic ABA LLC
• Catherine Celeste Sutherland
• Kelly Nye Sutherland, PT
• Izumi Suzuki, MD

• Addiction (Substance Use Disorder) Counselor in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.