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

Mr. Shaun Russell Tilton, LPCC-S, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1932588902

Mr. Shaun Russell Tilton, LPCC-S, LICDC is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2015
Specialties on file
2

Practice location Address checks out

592 Indian Summer Dr
Columbus, OH 43214-1880
Phone: (937) 478-1450
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.0800179-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence ICDC.101124 (OH)

Record details

NPI number1932588902
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC-S , LICDC
Sole proprietorYes
NPI enumeratedMay 24, 2015
Last updated in NPPESMay 24, 2015

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