Lea Rae Grosvenor, LCDC III
NPI 1467968735ActiveIndividual· Counselor, Professional· Fairfield, OH
Counselor, Professional (LCDC III) in Fairfield, Ohio, licensed in AZ and OH, with an NPI issued in December 2017. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1467968735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCDC III |
| Sole proprietor | No |
| NPI issued | Dec 21, 2017 |
| Last updated in NPPES | Jan 6, 2026 |
| Certified by provider | Jan 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-23977 | AZ |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LCDCIII.141046 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AZ) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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