ADOREE ANNE RUSSELL (NPI# 1114159753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114159753 |
Entity Type | Individual |
Full Name | ADOREE ANNE RUSSELL |
Credential | M.A., LMHC |
Practice Address |
103 Goltz Dr Grants NM 87020-2155 |
Practice Telephone | 5052853825 |
Mailing Telephone | 5052853825 |
Enumeration Date | 2009-08-16 |
Last Update Date | 2009-08-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
T0123751 | NM | Behavioral Health & Social Service Providers |
Street Address |
103 GOLTZ DR |
City | GRANTS |
State | NM |
Zip Code | 87020-2155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205444544 | Total Options Equipment Providers, Inc. | Durable Medical Equipment & Medical Supplies | 103 Goltz Dr, Grants, NM 87020-2155 | 2020-07-22 |
1033519897 | Loyal Service Agency Inc. | Home Health | 103 Goltz Dr, Grants, NM 87020-2155 | 2014-08-29 |
1760799829 | Aspects Treatment & Learning Center | Community/Behavioral Health | 103 Goltz Dr, Grants, NM 87020-2155 | 2010-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
1063840551 | Patricia Thompson | Nurse Practitioner | 2111 Lobo Canyon Rd, Grants, NM 87020 | 2013-10-22 |
1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
1841588506 | Saint Mary Nonemergency Medical Transportatio | Non-emergency Medical Transport (VAN) | 1325 Saddlehorn Trail, Grants, NM 87020 | 2011-07-15 |
1801129416 | Tammy L. White | Social Worker | 2595 West Highway 66, Grants, NM 87020 | 2009-09-14 |
1720236524 | Martha Abeyta | Nurse Practitioner | 1210 Mt. Taylor Ave, Grants, NM 87020 | 2008-09-04 |
1780869255 | Lou G. Mazon-vigil | Homeopath | 1300 Del Norte Blvd, Grants, NM 87020 | 2008-01-03 |
Find all providers in zip 87020 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053506394 | Barbara A Deluca | Counselor | 625 Kingman Ave Apt B, Box 66, Grants, NM 87020-4104 | 2007-09-10 |
1336263656 | Beverly Michael | Counselor | 1109 Mesa Blvd, Suite D, Grants, NM 87020-3038 | 2007-03-19 |
1265593495 | Judith R. Andreica | Counselor | 1220 Mount Taylor Ave, Grants, NM 87020-3149 | 2006-12-12 |
1467495077 | Melinda M Mcguire | Counselor | 906 North First St, Grants, NM 87020 | 2006-06-13 |
1679103188 | Michelle Haswood, Lmhc | Counselor | 1040 Sakelares Blvd, Grants, NM 87020-3819 | 2020-01-23 |
1023484953 | Beth Armstead | Counselor | 2595 W Highway 66, Grants, NM 87020-9626 | 2015-08-14 |
1215347869 | Rose Anna Nelson | Counselor | 1040 Sakelares Blvd, Grants, NM 87020-3819 | 2014-05-05 |
1649695347 | Andrea Ramirez | Counselor | 1040 Sakelares Blvd, Grants, NM 87020-3819 | 2014-03-04 |
1285997544 | Patty Lopez | Counselor | 906 N 1st St, Grants, NM 87020-2806 | 2012-06-21 |
1851678734 | Amber Joy Tenorio | Counselor | 700 E Roosevelt Ave Ste 18, Grants, NM 87020-2178 | 2011-11-07 |
Find all providers in GRANTS |
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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.