Active NPI
Lea Rae Grosvenor, LCDC III
- Professional Counselor
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-23977
- Practice address
- 5108 Sandy LN
Fairfield, OH 45014-2738 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Dec 21, 2017
- Last updated
- Jan 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.141046 | OH | |
| Professional Counselor | 101YP2500X | LPC-23977 | AZ | Primary |
Addresses
Primary practice location
5108 Sandy LN
Fairfield, OH 45014-2738
Mailing address
615 Elsinore PL Ste 300
Cincinnati, OH 45202-1475
Phone (513) 834-7063
Other names 1
- Lea Rae Middleton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260122003295 | AZ | Practitioner - Mental Health Counselor | 7113404971 |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1313 N 2ND St
Apt 1432
Phoenix, AZ 85004-1771
1702 E Bell Rd
Phoenix, AZ 85022-6273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCIII.141046 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-23977 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Healing Center, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Cornerstone Healing Center, LLC | Current | Accepting new patients | |
| L&J Healthcare, LLC | Past | Accepting new patients | |
| Cornerstone Healing Center, LLC | Past | Accepting new patients | |
| L&J Healthcare Dba Adams Recovery Center, LLC | Past | Accepting new patients |
Locations
4344 W Indian School Rd
Ste 22
Phoenix, AZ 85031
Phone (800) 480-1781
4344 W Indian School Rd
Ste 2223
Phoenix, AZ 85031
Phone (480) 863-0217
4344 W Indian School Rd
Ste 2322
Phoenix, AZ 85031
16444 N 91st St
Scottsdale, AZ 85260
Phone (480) 863-0217
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cornerstone Healing Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Scottsdale, AZ
- NPI 1154823680
Addiction (Substance Use Disorder)
-
- Substance Abuse Rehabilitation Facility
- Scottsdale, AZ
- NPI 1710556808
-
dba Adams Recovery Center
- Substance Abuse Rehabilitation Facility
- Loveland, OH
- NPI 1669898920
-
dba Adams Recovery Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Loveland, OH
- NPI 1265709711
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1649958760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1467968735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 300",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021475",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 SANDY LN",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450142738",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSVENOR",
"first_name": "LEA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "LCDC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.141046",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-23977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LEA",
"last_name": "MIDDLETON",
"middle_name": "RAE",
"credential": "LCDC III",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.