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

Miss Crystal M Russell, LPCC, CDCA is a Counselor - Mental Health based in Ontario, Ohio. Miss Crystal M Russell is licensed to practice in Ohio (license number E.2102678) and her current practice location is 1338 W 4th St, Ontario, Ohio. She can be reached at her office (for appointments etc.) via phone at (419) 528-5994.

NPI number for Miss Crystal M Russell is 1538542097 and her current mailing address is 843 Andover Rd, Mansfield, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. 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
SpecialityCounselor - Mental Health
Location1338 W 4th St, Ontario, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538542097
  • Provider Enumeration Date: 07/01/2015
  • Last Update Date: 07/21/2022

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

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 NOT enrolled with medicare and thus cannot 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

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
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    
Cary A Mcmillin, LSW, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1404 Park Ave W Ste 2, Ontario, OH 44906
Phone: 419-522-6191    
Caralie J Ziegler, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2193 Park Ave W, Ontario, OH 44906
Phone: 419-560-4995    
Mr. Dominick S Berg, PC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1404 Park Ave W Ste 2, Ontario, OH 44906
Phone: 419-522-6191    

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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.

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