MR. RUSSELL RAY EXLOS-RABER (NPI# 1104205079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104205079 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL RAY EXLOS-RABER |
| Credential | LPC |
| Practice Address |
777 S Washington St Tiffin OH 44883-3325 |
| Mailing Address |
1313 E Cole Rd Fremont OH 43420-8868 |
| Practice Telephone | 4194484094 |
| Mailing Telephone | 4193079092 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.1400059 | OH | Behavioral Health & Social Service Providers |
| Street Address |
777 S WASHINGTON ST |
| City | TIFFIN |
| State | OH |
| Zip Code | 44883-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528386661 | Julie Lynn George | Social Worker | 777 S Washington St, Tiffin, OH 44883-3325 | 2010-05-13 |
| 1396209722 | Bonnie R Crowe | Counselor | 777 S Washington St, Tiffin, OH 44883 | 2019-01-30 |
| 1629520366 | Ronee Rice | Counselor | 777 S Washington St, Tiffin, OH 44883-3325 | 2016-10-28 |
| 1538454897 | Erin N Perry | Counselor | 777 S Washington St, Tiffin, OH 44883-3325 | 2011-06-15 |
| 1063712404 | Mary Burgess Todd | Counselor | 777 S Washington St, Tiffin, OH 44883-3325 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1578033114 | Morgan Leann Fultz | Student in an Organized Health Care Education/Training Program | 310 East Market St, Tiffin, OH 44883 | 2018-11-27 |
| 1568989630 | Alicia Taylor Frank | Speech-Language Pathologist | 797 E. Clinton Tr 201, Tiffin, OH 44883 | 2017-08-29 |
| 1861938920 | Devin Erika Fry | Physical Therapy Assistant | 2550 Oh-100, Tiffin, OH 44883 | 2017-01-13 |
| 1407392608 | Erica Hoffman | Occupational Therapy Assistant | 2550 Oh 100, Tiffin, OH 44883 | 2017-01-11 |
| 1164973509 | Spencers Home Modifications | Contractor | 8 High Pointe Court, Tiffin, OH 44883 | 2016-10-20 |
| Find all providers in zip 44883 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1164828992 | Sonia Liliana Liggins | Counselor | 1140 Tall Grass Avenue, Tiffin, IA 52340 | 2014-11-05 |
| 1780738088 | Kara Ann Windsor | Counselor | 940 W Township Road 1177, Tiffin, OH 44883-8650 | 2007-01-23 |
| 1932261179 | Lea T Frank | Counselor | 24 W Market St, Tiffin, OH 44883-2720 | 2006-12-14 |
| 1083663470 | Lawrence Daniel George | Counselor | 250 W Woodmere Dr, Tiffin, OH 44883-8937 | 2006-05-10 |
| 1164401485 | Jennifer Damm | Counselor | 300 Melmore St, Tiffin, OH 44883-3535 | 2006-01-13 |
| 1629686589 | Savanna Lynn Frumkin | Counselor | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2020-07-16 |
| 1831728229 | Counseling Connections Center LLC | Counselor | 300 Melmore St, Tiffin, OH 44883-3535 | 2020-04-07 |
| 1386125318 | Family Wellbeing Associates, LLC | Counselor | 1140 Tall Grass Avenue, Tiffin, IA 52340 | 2018-08-28 |
| 1821580903 | James William Smith | Counselor | 76 Ashwood Dr, Tiffin, OH 44883-1908 | 2018-06-04 |
| Find all providers in TIFFIN | ||||
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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.