Active NPI
Ann Sulek
- Mental Health Counselor
- Springfield, OH
National Provider Identifier
1851382543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0004264
- Practice address
- 1345 N Fountain Blvd
Springfield, OH 45504-1422 - Phone
- (937) 399-9500
- Fax
- (937) 399-2701
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0004264 | OH | Primary |
Addresses
Primary practice location
1345 N Fountain Blvd
Springfield, OH 45504-1422
Mailing address
1345 N Fountain Blvd
Springfield, OH 45504-1422
Phone (937) 399-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000333503 | Other | OH | ANTHEM |
| 0005434738 | Other | OH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0004264 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Wellness Center, LTD. | Mental Health | Current | Accepting new patients |
| TCN Behavioral Health Services, Inc. | Mental Health | Current | Accepting new patients |
| TCN Behavioral Health Services, Inc | Current | Accepting new patients |
Locations
1335 Dublin Rd
Ste 212C
Columbus, OH 43215
Phone (614) 437-9910
1825 Commerce Center Blvd
Fairborn, OH 45324
Phone (937) 376-8755
452 W Market St
Xenia, OH 45385
Phone (937) 376-8744
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/tcn/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Xenia, OH
- NPI 1336118256
-
- Psychiatry Physician
- Fairborn, OH
- NPI 1770725806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851382543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 N FOUNTAIN BLVD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041422",
"telephone_number": "937-399-9500",
"fax_number": "937-399-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 N FOUNTAIN BLVD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455041422",
"telephone_number": "937-399-9500",
"fax_number": "937-399-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULEK",
"first_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0004264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000333503",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005434738",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.