Individual provider Active NPI

Thomas A. Russell, M.A., M.ED., LPCC

  • Mental Health Counselor
  • Mansfield, OH
National Provider Identifier
1376727446
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E3714 Issued in OH
Practice address
1066 Lexington Ave
Mansfield, OH 44907-2250
Phone
(419) 709-8447
Fax
(419) 526-5525
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E3714 OH Primary

Addresses

Primary practice location

1066 Lexington Ave
Mansfield, OH 44907-2250

Mailing address

1066 Lexington Ave
Mansfield, OH 44907-2250
Phone (419) 709-8447

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251022000387 OH Practitioner - Mental Health Counselor 1153645635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Heritage Christian Counseling of MansfieldGroup PAC ID 9931609377, 3 clinicians
Heritage Christian Counseling of ShelbyGroup PAC ID 6406293687, 6 clinicians

Practice addresses (Care Compare)

1066 Lexington Ave
Mansfield, OH 44907-2250
Phone (419) 709-8447

153 Mansfield Ave
Suite B
Shelby, OH 44875-1832
Phone (567) 844-0036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
E3714OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Christian Counseling of Mansfield Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Heritage Christian Counseling of Shelby CurrentSince Aug 15, 2025 Accepting new patients
New Way Counseling LLC Past Accepting new patients
Greg Frankenfield, Lisw, LLC Past Accepting new patients
Heritage Christian Counseling Ministries, Inc. Mental Health PastSince Nov 1, 2014 Accepting new patients

Locations

1066 Lexington Ave
Mansfield, OH 44907
Phone (419) 526-5523

153 Mansfield Ave
#B
Shelby, OH 44875
Phone (567) 844-0036

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1376727446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072250",
            "telephone_number": "419-709-8447",
            "fax_number": "419-526-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072250",
            "telephone_number": "419-709-8447",
            "fax_number": "419-526-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.A., M.ED., LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E3714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.