MRS. LEA RAE GROSVENOR LCDC III
NPI 1467968735
Counselor - Professional in Fairfield, OH

Q: What is Lea Grosvenor's NPI number?

The NPI number for Lea Grosvenor is 1467968735. It was assigned to this individual provider in the NPPES registry on December 21, 2017. The provider is also known as Lea Rae Middleton Lcdc III.

Q: What is Lea Grosvenor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Lea Grosvenor was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 21, 2017PECOS Enrolled

5108 SANDY LN, FAIRFIELD, OH 45014(513) 834-7063(513) 873-1567 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2026, May 10, 2021, Dec 21, 2017 (3 updates tracked since 2017).

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About Mrs. Lea Rae Grosvenor Lcdc Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LEA RAE GROSVENOR LCDC III (NPI 1467968735) is an individual professional provider in Fairfield, Ohio, licensed in Arizona (LPC-23977) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467968735

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. LEA RAE GROSVENORCredential: LCDC III

Location Address5108 SANDY LNFairfield, OH 45014-2738

Mailing Address615 Elsinore Pl Ste 300Cincinnati, OH 45202-1475 · (513) 834-7063 · Fax (513) 873-1567

Phone(513) 834-7063

Fax(513) 873-1567

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 21, 2017

Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1467968735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC-23977

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCDCIII.141046 (OH)

5108 SANDY LN, Fairfield, OH 45014

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Other Names 1

Former Name (1)Lea Rae Middleton Lcdc Iii

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lea Rae Grosvenor Lcdc Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113404971

PECOS Enrollment IDI20260122003295

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATRINA KANIGOSKI LCDCII

Counselor (Addiction (Substance Use Disorder))