Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Crystal M Russell, LPCC, CDCA

Individual provider Counselor · NPI 1538542097

Miss. Crystal M Russell, LPCC, CDCA is a Mental Health Counselor in Ontario, Ohio. Qualified in 2016, 10 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2015
Specialties on file
5
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1338 W 4th St
Ontario, OH 44906-1828
Phone: (419) 528-5994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4641 Fulton Dr Nw, Canton, OH 44718-2384 — (330) 433-6075
  • 2285 Benden Dr, Wooster, OH 44691-2568 — (330) 264-9029

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.2102678 (OH)
Counselor Taxonomy 101Y00000X · Licence C15000630 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA162724 (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence C1500630 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1538542097
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , CDCA
Sole proprietorYes
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 21, 2022
Certification dateDecember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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