Gary Lee Russell
LPCC-S, LICDC
Counselor - Mental Health
About Gary Lee Russell
Gary Lee Russell, LPCC-S, LICDC, is a male healthcare professional specializing in Counselor - Mental Health with a focus on Mental Health, registered under National Provider Identifier (NPI) number 1003394180.
Gary Lee Russell received his medical education at OTHER, graduating in 2002. Their primary practice is located at 151 MARION AVE, Mansfield, Ohio 44903. Patients can reach the office at (419) 774-9969.
Gary Lee Russell is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Gary Lee Russell has been NPI-registered since 2018.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1003394180
- Entity Type
- Individual
- First Name
- Gary
- Last Name
- Russell
- Credential
- LPCC-S, LICDC
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2002
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 151 MARION AVE
- City
- Mansfield
- State
- Ohio
- ZIP
- 44903-2223
- Country
- United States
- Phone
- (419) 774-9969
Specialty & Taxonomy
- Primary Specialty
- Counselor - Mental Health
- Classification
- Counselor
- Specialization
- Mental Health
- Taxonomy Code
- 101YM0800X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 33 S LEXINGTON SPRINGMILL RD
- City
- ONTARIO
- State
- OH
- ZIP
- 449061325
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Gary Lee Russell's NPI number?
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Where is Gary Lee Russell located?
Does Gary Lee Russell accept Medicare?
Does Gary Lee Russell offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Gary Lee Russell is 1003394180.