Russell Ray Exlos-Raber, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1400059 Issued in OH

Practice address

777 S Washington St
Tiffin, OH 44883-3325

Phone

(419) 448-4094

NPI assigned

May 26, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compass Behavioral Health, LLC

  • Mental Health Counselor
  • Fremont, OH
  • NPI 1871101279
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1104205079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E COLE RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434208868",
            "telephone_number": "419-307-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WASHINGTON ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833325",
            "telephone_number": "419-448-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXLOS-RABER",
        "first_name": "RUSSELL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1400059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris J Englehart, LMT
• Constance English, MA, CCC-SLP/L
• Kerry Eppley
• Kathryn Joanne Estep, LMT
• Everycare Health LLC (EveryCare)
• Pamela Faber, LPCC
• Fabrehab Services, LLC
• Fabrizio Chiropractic & Physical Rehabilitation Clinic Inc.
• Carmella Fabrizio
• Dominic Anthony Fabrizio, DC

• Mental Health Counselor in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.