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

Individual provider Professional Counselor · NPI 1467968735

Mrs. Lea Rae Grosvenor, LCDCIII is a Mental Health Counselor in Fairfield, Ohio. Qualified in 2022, 4 years ago. Licensed in Arizona and Ohio.

Years since qualifying
4
Licensed in
AZ, OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

5108 Sandy Ln
Fairfield, OH 45014-2738
Phone: (513) 834-7063
Fax: (513) 873-1567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-23977 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCIII.141046 (OH)

Record details

NPI number1467968735
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDCIII
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fairfield