Active NPI
Thomas A. Russell, M.A., M.ED., LPCC
- Mental Health Counselor
- Mansfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E3714
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| E3714 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Christian Counseling of Mansfield | Mental Health | Current | Accepting new patients |
| Heritage Christian Counseling of Shelby | Current | 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 | Past | 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.
-
- Mental Health Counselor
- Mansfield, OH
- NPI 1235021387
-
- Clinical Social Worker
- Shelby, OH
- NPI 1114700622
-
- Clinical Social Worker
- Mansfield, OH
- NPI 1710323522
-
- Mental Health Counselor
- Ashland, OH
- NPI 1730247800
-
- Professional Counselor
- Mansfield, OH
- NPI 1619297835
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.