Gary Russell, LPCC-S, LICDC
NPI 1003394180 · Mental Health Counselor · Mansfield, OH
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Russell, LPCC-S, LICDC is a Mental Health Counselor provider in Mansfield, OH (NPI 1003394180).
Provider details
- NPI number
- 1003394180
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC-S, LICDC
- Sex
- Male
- Sole proprietor
- Yes
- License
- LICDC.162577 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2024-02-15
- Certified
- 2024-02-13
Frequently asked questions
- What is Gary Russell's NPI number?
- Gary Russell's National Provider Identifier (NPI) is 1003394180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Russell's specialty?
- Gary Russell is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Gary Russell located?
- Gary Russell's practice location on file with NPPES is 151 Marion Ave, Mansfield, OH 44903-2223.
- What is Gary Russell's phone number?
- The practice phone number listed in the NPPES registry for Gary Russell is (419) 774-9969.
- Does Gary Russell accept Medicare?
- Gary Russell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Russell's NPI active?
- Yes — Gary Russell's NPI (1003394180) is active in the NPPES registry as of the last update on 2024-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.