RUSSELL DEAN PHILPOTT (NPI# 1053441725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053441725 |
| Entity Type | Individual |
| Full Name | RUSSELL DEAN PHILPOTT |
| Credential | M. ED, LPC |
| Practice Address |
1605 Grand Central Ave Ste C Vienna WV 26105-1081 |
| Practice Telephone | (304) 295-3345 |
| Practice Fax Number | 3042953345 |
| Mailing Telephone | 3042953345 |
| Mailing Fax Number | 3042953345 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 1598 | WV | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1598 | WV | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1598 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV LPC NUMBER | 1598 | 01 |
| Street Address |
1605 GRAND CENTRAL AVE STE C |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-1081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210494 | Michele Fling | Counselor | 1605 Grand Central Ave Ste C, Vienna, WV 26105-1081 | 2019-11-27 |
| 1922581610 | New Day Therapy, LLC | Counselor | 1605 Grand Central Ave Ste C, Vienna, WV 26105-1081 | 2018-09-10 |
| 1043734551 | Mental Health Balance & Development, LLC | Counselor | 1605 Grand Central Ave Ste C, Vienna, WV 26105-1081 | 2017-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770060717 | Across Counseling LLC | Counselor | 501 Church St Ne Ste 207, Vienna, VA 22180-4734 | 2018-07-23 |
| 1568983096 | Jodi Witthaus | Counselor | 100 Oliver St, Vienna, IL 62995-1686 | 2017-07-06 |
| 1477923050 | George Edward Harrington IIi | Counselor | 8150 Leesburg Pike Ste 740, Vienna, VA 22182-7700 | 2015-09-25 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1043596356 | Jennifer Speed Byrnes | Counselor | 501 Church St Ne Ste 106, Vienna, VA 22180-4734 | 2011-11-01 |
| 1003967563 | Ephesians Life Ministries | Counselor | 260 Cedar Ln Se # B, Vienna, VA 22180-6698 | 2007-01-12 |
| 1811054364 | Roberta Cordingley | Counselor | 415 Church St Ne Ste 101, Vienna, VA 22180-4742 | 2007-01-03 |
| 1043817547 | Regaina Madden | Counselor | 101 Oliver St, Vienna, IL 62995-1660 | 2020-10-07 |
| 1003434291 | Madison Kimbrell | Counselor | 101 Oliver St, Vienna, IL 62995-1660 | 2020-07-14 |
| 1437773710 | Riley Warren | Counselor | 101 Oliver St, Vienna, IL 62995-1660 | 2020-06-03 |
| Find all providers in VIENNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.