Gary Russell, LPCC-S, LICDC
Gary Russell, LPCC-S, LICDC is a Mental Health Counselor in Mansfield, OH, registered under NPI 1003394180. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Mansfield, based on OpenStreetMap data collected Sep 23, 2026. Parking is available about 493 ft away. The nearest transit stop is 851 ft away.
Getting here and what is nearby
Parking 64 ft ~1 min
Parking 66 ft ~1 min
Parking 493 ft ~2 min
Transit 717 ft ~3 min
Transit 756 ft ~3 min
Transit 851 ft ~4 min
Restaurant MVP's Sports Bar & Grille 925 ft ~4 min
275 Park Avenue West, Mansfield 44902
Mo-Su 11:00-24:00
Restaurant KD's Allegro Pizzeria 0.20 mi ~4 min
247 Marion Avenue, Mansfield 44903
Su-Th 16:00-23:00, Fr-Sa 16:00-24:00
Restaurant Besta Fasta Pizza 0.28 mi ~6 min
289 Marion Avenue, Mansfield 44903
Mo 16:00-22:00; Tu-Th 10:00-13:30,16:00-22:00; Fr 10:00-13:30,16:00-23:00; Sa 12:00-23:00; Su 12:00-21:00
Grocery KV Market 0.29 mi ~6 min
359 West 4th Street, Mansfield 44903
Mo-Su 08:00-22:00
Convenience J & J Food Mart 0.30 mi ~7 min
Hotel M Star Hotel 0.40 mi ~9 min
Hotel Quality Inn & Suites 0.46 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| E.2001844-SUPV | OH | Mental Health Counselor primary |
| LICDC.162577 | OH | Addiction (Substance Use Disorder)… |
This provider holds licence E.2001844-SUPV issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 3274070073
- Enrollment ID
- I20240729004342
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor Mental Health | E.2001844-SUPV | OH | primary |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | LICDC.162577 | OH |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003394180 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 1, 2018 |
| Last updated | Feb 15, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | LPCC-S, LICDC |
| Practice address |
151 MARION AVE Mansfield, OH 44903 (419) 774-9969 |
| Mailing address |
33 S LEXINGTON SPRINGMILL RD Ontario, OH 44906 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 9 | 4 | 1 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 9 | 8 | 1 | 7 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.