JONATHAN BO RUSSELL (NPI# 1083265805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083265805 |
| Entity Type | Individual |
| Full Name | JONATHAN BO RUSSELL |
| Credential | MA |
| Practice Address |
390 40th St Oakland CA 94609-2633 |
| Practice Telephone | 7148835762 |
| Mailing Telephone | 7148835762 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174922447 | Jonathan Michael Russell | Physician Assistant | 705 Oak St Unit 11, Big Rapids, MI 49307-3108 | 2014-08-22 |
| 1396934196 | Jonathan Forrest Russell | Physician Assistant | 221 Ne Main St, Winston, OR 97496-6562 | 2007-10-17 |
| 1336142553 | Jonathan R. Russell | Specialist | 10130 Louetta Rd, Suite G, Houston, TX 77070-2118 | 2005-05-23 |
| 1770069379 | Jonathan Scott Russell | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2018-07-17 |
| 1689030124 | Jonathan David Russell | Speech-Language Pathologist | 250 Fairview Rd, Thousand Oaks, CA 91361-2456 | 2016-01-14 |
| 1013301910 | Jonathan Foster Russell | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2015-03-27 |
| 1558576546 | Jonathan Russell | Optometrist | 12100 Se Stevens Ct, Suite 106, Clackamas, OR 97086-4707 | 2007-05-11 |
| Street Address |
390 40TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831267418 | Catherine Anne Mcdonald | Pediatrics | 390 40th St, Oakland, CA 94609-2633 | 2006-12-01 |
| 1245831502 | Cassandra Beck | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-11-03 |
| 1306445911 | Kamilah Aisha Puckett | Licensed Vocational Nurse | 390 40th St, Oakland, CA 94609-2633 | 2020-10-23 |
| 1801403662 | Donna M Scott | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-09-25 |
| 1902412026 | Carolyn Mariru Kojima | Social Worker | 390 40th St, Oakland, CA 94609-2633 | 2020-09-23 |
| 1699388702 | Donyell Meyung Crin Sr. | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-28 |
| 1164034906 | Mercie Tiara Jones | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-22 |
| 1023629102 | David Colburn Armstrong | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-08-12 |
| 1790303766 | Richard Robinson | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-07-07 |
| 1114545183 | Sidonia Mapp | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099832 | Marlena Sara Hartman-filson | Counselor | 422 38th St Apt A, Oakland, CA 94609-2778 | 2020-09-23 |
| 1801412689 | Lindsey Schwartz | Counselor | 7200 Bancroft Ave, Building B, Ste 133, Oakland, CA 94605-2480 | 2020-06-17 |
| 1013538487 | Alex Weinstein | Counselor | 4264 Norton Ave, Oakland, CA 94602-4018 | 2020-04-27 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1992342810 | Zoe Karanfilian | Counselor | 62 Vancleave Way, Oakland, CA 94619-2340 | 2019-12-10 |
| 1881154763 | Cia A Robles | Counselor | 3798 Grand Ave Ste 1, Oakland, CA 94610-1527 | 2019-03-25 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1013489954 | Jasmine J Rutherford | Counselor | 3301 E 12th St Ste 116, Oakland, CA 94601-3424 | 2018-12-17 |
| 1366910549 | Raven Porter | Counselor | 2747 76th Ave, Oakland, CA 94605-2809 | 2018-11-06 |
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| Find all providers in OAKLAND | ||||
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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.