MADISON RUSSELL (NPI# 1124582788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124582788 |
| Entity Type | Individual |
| Full Name | MADISON RUSSELL |
| Credential | QMHS BA CMS BA |
| Practice Address |
3500 Carnegie Ave Cleveland OH 44115-2641 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | OH | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871156257 | Madison Russell | Registered Nurse | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2019-04-21 |
| 1427529098 | Madison Russell | Behavior Technician | 1050 Fulton Ave Ste 235, Sacramento, CA 95825-4299 | 2018-12-07 |
| 1356817787 | Madison Russell | Behavior Technician | 1617 E Milham Ave Ste B, Portage, MI 49002-3049 | 2018-10-24 |
| 1588113112 | Madison N. Russell | Speech-Language Pathologist | 974 Bethel Rd, Suite A, Columbus, OH 43214-2467 | 2016-09-23 |
| Street Address |
3500 CARNEGIE AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386622934 | Kevin James Williamson | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2006-01-04 |
| 1720689573 | Johnna Miska | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1962003723 | Lori Musarra | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1861093700 | Leah Popkin | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1700486487 | Gina M Branco | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-30 |
| 1770183659 | Hannah B Vertal | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-29 |
| 1417556432 | Derrick A Pledger | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-21 |
| 1255930285 | Jessica Raye Yeager | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-21 |
| 1588263859 | Kaeley Doyle | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-19 |
| 1225636822 | Erica J. Tapia-mateo | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654740 | Justin's Love Home Health Agency | Community/Behavioral Health | 17325 Euclid Ave Ste 2017, Cleveland, OH 44112-1250 | 2020-09-21 |
| 1063024008 | To Attain Healing LLC | Community/Behavioral Health | 17325 Euclid Ave Ste 3060, Cleveland, OH 44112-1256 | 2020-08-20 |
| 1740806751 | One Child Every Chance Foundation LLC | Community/Behavioral Health | 5909 Cable Ave, Cleveland, OH 44127-1745 | 2020-06-25 |
| 1649899048 | Amyra Support Services, LLC | Community/Behavioral Health | 11811 Shaker Blvd Ste 113d, Cleveland, OH 44120-1927 | 2020-04-15 |
| 1447886973 | Infinity Hearts LLC | Community/Behavioral Health | 17325 Euclid Ave Ste 4133, Cleveland, OH 44112-1262 | 2020-03-16 |
| 1184255549 | Peter James Development & Independent Living, Inc. | Community/Behavioral Health | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-02-03 |
| 1255970679 | Heart To Heart Health and Wellness | Community/Behavioral Health | 17325 Euclid Ave Ste 2145, Cleveland, OH 44112-1247 | 2020-01-02 |
| 1164068540 | First and Twenty Five LLC | Community/Behavioral Health | 12305 Arlington Ave, Cleveland, OH 44108-2359 | 2019-11-21 |
| 1124580303 | Lighthouse Community Care Inc | Community/Behavioral Health | 4500 Lee Rd Ste 231, Cleveland, OH 44128-2959 | 2019-04-04 |
| 1467916809 | Inter-cept Consultant Services, LLC | Community/Behavioral Health | 13303 Beachwood Ave, Cleveland, OH 44105-6415 | 2019-01-30 |
| Find all providers in CLEVELAND | ||||
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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.