Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell John Simon I, LPCC-S

Individual provider Counselor · NPI 1710493366

Russell John Simon I, LPCC-S is a Mental Health Counselor in Grove City, Ohio. Qualified in 2013, 13 years ago. Practices with Live Wellness Center, Ltd, a 6-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

5665 Hoover Rd
Grove City, OH 43123-9122
Phone: (614) 539-6545
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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 E.1800623-SUPV (OH)
Counselor Taxonomy 101Y00000X · Licence C.1400157 (OH)

Record details

NPI number1710493366
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC-S
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESJune 25, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Live Wellness Center, Ltd. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grove City