TAMMY RUSSELL (NPI# 1093104671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093104671 |
| Entity Type | Individual |
| Full Name | TAMMY RUSSELL |
| Credential | LMHC |
| Practice Address |
3461 Burlington Ave N St Petersburg FL 33713-8548 |
| Practice Telephone | 7273284006 |
| Practice Fax Number | 7272589073 |
| Mailing Telephone | 7273284006 |
| Mailing Fax Number | 7272589073 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH15531 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LMHC | MH15531 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770835811 | Tammy Mason Russell | Social Worker | 835 Sheffield St, Hampton, VA 23666-1981 | 2012-10-14 |
| 1831409994 | Tammy Russell | Licensed Practical Nurse | 527 Old Stage Rd, Saugerties, NY 12477-4450 | 2010-10-07 |
| 1790283455 | Tammy Russell | Technician | 4550 W Oakey Blvd, Las Vegas, NV 89102-1581 | 2018-01-29 |
| 1073701058 | Tammy Lee Russell | Dietitian, Registered | 1820 Sw Vermont St Ste F, Portland, OR 97219-1945 | 2007-10-04 |
| Street Address |
3461 BURLINGTON AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700211901 | Linda C Wait | Counselor | 3461 Burlington Ave N, Apt. 11, St Petersburg, FL 33713-8548 | 2013-09-06 |
| 1417497579 | Parnia Roghani | Counselor | 3461 Burlington Ave N, Apt 11, St Petersburg, FL 33713-8548 | 2017-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1598364747 | Sara Spiess | Counselor | 447 3rd Ave N Ste 204, St Petersburg, FL 33701-3245 | 2020-10-20 |
| 1669096400 | Bjorn Nagle | Counselor | 111 2nd Ave Ne Ste 1007, St Petersburg, FL 33701-3442 | 2020-06-06 |
| 1225658180 | Holly A Henderson | Counselor | 600 40th St N Apt 208, St Petersburg, FL 33713-6340 | 2020-04-21 |
| 1225657174 | Meaghan Campbell | Counselor | 749 Jasmine Way S, St Petersburg, FL 33705-4744 | 2020-04-10 |
| 1245865294 | Russia Ja'von Collins | Counselor | 833 22nd St S, St Petersburg, FL 33712-2250 | 2020-03-10 |
| 1053959023 | Lynn Stephanie Jackson Dorman | Counselor | 1700 Park St N Ste 110, St Petersburg, FL 33710-4300 | 2019-12-20 |
| 1063985091 | Carleah East | Counselor | 6675 38th Ave N Ste 102, St Petersburg, FL 33710-1534 | 2019-01-02 |
| 1992271167 | Devon Willette | Counselor | 3900 Queen St N, St Petersburg, FL 33714-4644 | 2018-10-16 |
| 1750862017 | Mind Body Wellness Group LLC | Counselor | 735 Arlington Ave N Ste 205, St Petersburg, FL 33701-3653 | 2018-08-24 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on TAMMY RUSSELL.
| 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.