Individual provider Active NPI

Michael Dean Sell, LPCC

  • Mental Health Counselor
  • Sylvania, OH
National Provider Identifier
1629535125
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303451-SUPV Issued in OH
Practice address
5151 Main St
Sylvania, OH 43560-2184
Phone
(419) 266-0072
Fax
(419) 754-2306
NPI assigned
Feb 21, 2019
Last updated
Sep 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 E.2303451-SUPV OH Primary

Addresses

Primary practice location

5151 Main St
Sylvania, OH 43560-2184

Mailing address

5151 Main St
Sylvania, OH 43560-2184
Phone (419) 266-0072

Other practice location 1

7110 W Central Ave Ste E
Toledo, OH 43617-3115
Phone (419) 266-0072

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
I20250205003679 OH Practitioner - Mental Health Counselor 3577093566 Reassigns benefits to 1 organization
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2303451OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Mental Health, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

7110 W Central Ave
Ste A36
Toledo, OH 43617

7110 W Central Ave
Ste E
Toledo, OH 43617
Phone (419) 266-0072

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1629535125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602184",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602184",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7110 W Central Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173115",
            "country_code": "US",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELL",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303451-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.