Individual provider Active NPI

Ann Sulek

  • Mental Health Counselor
  • Springfield, OH
National Provider Identifier
1851382543
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0004264 Issued in OH
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000333503OtherOHANTHEM
0005434738OtherOHAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017004215 OH Practitioner - Mental Health Counselor 0749712552 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E0004264OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Wellness Center, LTD. Mental Health CurrentSince May 30, 2025 Accepting new patients
TCN Behavioral Health Services, Inc. Mental Health CurrentSince Sep 9, 2024 Accepting new patients
TCN Behavioral Health Services, Inc CurrentSince Nov 24, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.