MRS. MARY LOU SULL (NPI# 1346316106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346316106 |
| Entity Type | Individual |
| Full Name | MRS. MARY LOU SULL |
| Credential | PCC-S,LSW,LICDC |
| Practice Address |
14843 W Sprague Rd Ste A Strongsville OH 44136-1754 |
| Mailing Address |
1124 Molland Dr Brunswick OH 44212-6415 |
| Practice Telephone | 4402349955 |
| Practice Fax Number | 4402345994 |
| Mailing Telephone | 3302259415 |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | E0002000 | OH | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
991499 | OH | Behavioral Health & Social Service Providers |
| Street Address |
14843 W SPRAGUE RD STE A |
| City | STRONGSVILLE |
| State | OH |
| Zip Code | 44136-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285708552 | Katherine Anne Fulkerson | Counselor | 14843 W Sprague Rd Ste A, Strongsville, OH 44136-1754 | 2006-11-20 |
| 1134295603 | Terence L Drake | Social Worker | 14843 W Sprague Rd Ste A, Strongsville, OH 44136-1754 | 2006-11-28 |
| 1477629236 | Albert Paul Klubert | Counselor | 14843 W Sprague Rd Ste A, Strongsville, OH 44136-1754 | 2006-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887688 | Elizabeth M Smutek | Homemaker | 16920 Deer Path Dr, Cleveland, OH 44136 | 2020-09-24 |
| 1528507332 | Ridge Park Urgent Care LLC | Clinic/Center | 16244 Pearl Road, Strongsville, OH 44136 | 2017-02-14 |
| 1871047126 | Ralph Rivera | Social Worker | 15251 Colebright Rd, Strongsville, OH 44136 | 2016-08-04 |
| 1598184392 | Kelly Nye Sutherland | Physical Therapist | 16761 South Park Center/ St30, Strongsville, OH 44136 | 2014-04-09 |
| 1427475383 | Shena Colburn | Physical Therapy Assistant | 19502 Pearl Road, Strongsville, OH 44136 | 2014-03-27 |
| 1851640445 | Dentkos Endodontics, LLC | Dentist | 16626 Pearl Rd, Strongsville, OH 44136 | 2012-08-29 |
| 1861777823 | Connie Agui | Registered Nurse | 19017 Turkey Meadow Lane, Strongsville, OH 44136 | 2011-10-20 |
| 1629376397 | America's Best Contacts & Eyeglasses | Technician/Technologist | 17260 Royalton Road, Strongsville, OH 44136 | 2011-03-04 |
| 1932432267 | Costco Wholesale Corporation | Pharmacy | 16690 Royalton Rd, Strongsville, OH 44136 | 2009-09-18 |
| 1003051715 | Francois Abi Fadel | Internal Medicine | Strongsville Family Health and Surgery Center, 16761 South Park Center, Strongsville, OH 44136 | 2008-12-09 |
| Find all providers in zip 44136 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104128628 | Brittany Marie Buffington | Counselor | 13477 Prospect Rd Ste 104a, Strongsville, OH 44149-3867 | 2010-12-04 |
| 1962959577 | Kelsey Cirkvencic | Counselor | 10900 Pearl Rd, Suite C1, Strongsville, OH 44136-3349 | 2016-09-01 |
| 1518382100 | Robin Coyer | Counselor | 13883 Drake Rd, Strongsville, OH 44136-7918 | 2014-02-19 |
| 1831272624 | Eva Marie Steinel | Counselor | 11565 Pearl Rd, Suite 200, Strongsville, OH 44136-3356 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868698 | Jana Elaine Kizito | Counselor | 202 Gladys Ave, Mingo Jct, OH 43938-1028 | 2020-10-12 |
| 1669079596 | Jonathan David Kopech | Counselor | 2635 Jessup Rd, Cincinnati, OH 45239-6276 | 2020-10-05 |
| 1427665900 | Center for Emotional Health, LLC. | Counselor | 330 Portland St, Celina, OH 45822-2038 | 2020-09-28 |
| 1932715471 | Raquel Powell-lewis | Counselor | 1435 Vine St Apt 2, Cincinnati, OH 45202-7094 | 2020-09-21 |
| 1043826027 | Center of Healing, LLC | Counselor | 292 Greensfield Ln, Copley, OH 44321-3098 | 2020-09-16 |
| 1043825573 | David Fluellen | Counselor | 1743 E Main St, Columbus, OH 43205-2265 | 2020-09-11 |
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1720692353 | Lindsay Nichole Hall | Counselor | 5136 Birchwood Farms Dr, Mason, OH 45040-3621 | 2020-09-01 |
| 1053923177 | Myla Perry | Counselor | 6549 Coachlight Way, West Chester, OH 45069-2050 | 2020-08-19 |
| 1144839929 | Hollowell Counseling LLC | Counselor | 1619 Onondaga Ave, Lakewood, OH 44107-4310 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | STRONGSVILLE |
| Zip Code | 44136 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.