Miss Crystal M Russell, LPCC, CDCA - Medicare Counselor in Ontario, OH

Miss Crystal M Russell, LPCC, CDCA is a medicare enrolled "Counselor - Mental Health" provider in Ontario, Ohio. She graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is 1338 W 4th St, Ontario, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 528-5994.

Miss Crystal M Russell is licensed to practice in Ohio (license number E.2102678) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538542097.

Contact Information

Miss Crystal M Russell, LPCC, CDCA
1338 W 4th St,
Ontario, OH 44906-1828
(419) 528-5994
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMiss Crystal M Russell
GenderFemale
SpecialityMental Health Counselor
Experience10 Years
Location1338 W 4th St, Ontario, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Crystal M Russell graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1538542097
  • Provider Enumeration Date: 07/01/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385140037
  • Enrollment ID: I20251001002296

Medical Identifiers

Medical identifiers for Miss Crystal M Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538542097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor C15000630 (Ohio)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) CDCA162724 (Ohio)Secondary
101YM0800XCounselor - Mental Health C1500630 (Ohio)Secondary
101YM0800XCounselor - Mental Health E.2102678 (Ohio)Primary
390200000XStudent In An Organized Health Care Education/training Program (Ohio)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sondermind Provider Network Llc95375724901232

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Crystal M Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Crystal M Russell, LPCC, CDCA
843 Andover Rd,
Mansfield, OH 44907-1911

Ph: (419) 528-5994
Miss Crystal M Russell, LPCC, CDCA
1338 W 4th St,
Ontario, OH 44906-1828

Ph: (419) 528-5994

Reviews and Comments


Counselor in Ontario, OH

Mr. Timothy Steven Yates Ii, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2281 Village Mall Dr Unit 3, Ontario, OH 44906
Phone: 419-387-5897    
Edward Fitch, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2281 Village Mall Dr Unit 3, Ontario, OH 44906
Phone: 904-755-4997    
Mrs. Teresa L Davis, PCC-S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1805 Park Ave W, Ontario, OH 44906
Phone: 419-529-4420    Fax: 419-529-4677
James Costa, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2281 Village Mall Dr Unit 3, Ontario, OH 44906
Phone: 904-755-4997    
Mrs. Debra Strong, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 890 W 4th St, Ontario, OH 44906
Phone: 419-521-9004    
Miles Timothy Brown, SPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1404 Park Ave W Ste 2, Ontario, OH 44906
Phone: 419-522-6191    
Rex Alan Taylor, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2281 Village Mall Dr Unit 3, Ontario, OH 44906
Phone: 904-755-4997    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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