Russell Cruse, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E0007705 Issued in OH

Practice address

9475 Kenwood Rd Ste 13
Blue Ash, OH 45242-6830

Phone

(513) 535-3653

Fax

(513) 586-0998

NPI assigned

Feb 26, 2010

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

Other names 1

• Mr. Rusty Cruse Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Blue Ash Family Counseling Center

  dba Russell Cruse, LPPC-S, LLC

  • Professional Counselor
  • Blue Ash, OH
  • NPI 1780481077
  NPD
• Deerfield Township Family Counseling Center

  • Community/Behavioral Health Agency
  • Mason, OH
  • NPI 1831328467
  NPD (past)

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1578885810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 GARNER DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410152323",
            "telephone_number": "513-520-0252",
            "fax_number": "513-586-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 KENWOOD RD STE 13",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426830",
            "telephone_number": "513-535-3653",
            "fax_number": "513-586-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSE",
        "first_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0007705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSTY",
            "last_name": "CRUSE",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.