DR. TERESA MARIE RUSSELL


Address: 10292 Chestnut Park Ln, Columbia, MD 21044-4951
Phone: 2405751206

DR. TERESA MARIE RUSSELL (NPI# 1134171945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134171945
Entity Type Individual
Full Name DR. TERESA MARIE RUSSELL
Credential LCPC
Practice Address 10292 Chestnut Park Ln
Columbia
MD 21044-4951
Practice Telephone 2405751206
Mailing Telephone 2405751206
Enumeration Date 2006-05-17
Last Update Date 2020-06-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor CP000009 NV Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LC5788 MD Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
CP000009 NV Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 074657600 05
NV 100507626 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
30 S Court St, Frederick, MD 217015510 2405751206

Other Providers TERESA RUSSELL

NPI Name Taxonomy Address Enumeration
1538314083 Teresa Ann Russell Physical Therapist 792 W Pine Ford Rd, Boyertown, PA 19512-7502 2008-11-25
1780847616 Teresa Marie Antonette Russell Social Worker 29 417 E Hyw 212, Busby, MT 59016-0201 2008-07-10
1700137122 Teresa Payton Russell Counselor 1000 N 1st St, Suite 1, Albemarle, NC 28001-2833 2012-09-25
1871874255 Teresa A Russell Pharmacist 1950 Wales Rd Ne, Massillon, OH 44646-4110 2011-08-30
1124312053 Teresa Marie Russell Nurse Practitioner 130 E 77th St, Black Hall, 8th Floor, New York, NY 10075-1851 2011-06-08
1770639346 Teresa M Russell Nurse Practitioner 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2007-01-26

Office Location

Street Address 10292 CHESTNUT PARK LN
City COLUMBIA
State MD
Zip Code 21044-4951

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821699331 Brightview Columbia, LLC Alzheimer Center (Dementia Center) 6670 Martin Road, Columbia, MD 21044 2020-11-03
1689291544 Diana Matthews Physical Therapist 6016 Jerrys Drive, Columbia, MD 21044 2020-06-26
1902380926 Bagiwa Healthcare Services LLC Nursing Care 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 2018-09-17
1295228245 April Bloom Assisted Living, LLC Assisted Living Facility 5037 East Durham Rd, Columbia, MD 21044 2018-06-13
1437659562 La Shawna A Obame Counselor 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 2018-02-15
1205335262 Rashida Annette Winestock Registered Nurse 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 2018-02-06
1215436274 Terri Lynn Buzby Registered Nurse 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 2018-02-06
1134628191 Sarah Elizabeth Stiltner Registered Nurse 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 2018-02-06
1326547381 David Oliver Sloan Jr. Registered Nurse 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 2018-02-06
1467950980 Jill Sheppard Davenport Nutritionist 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 2018-01-30
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992305205 Jacqueline Justiniano Myers Counselor 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 2020-10-27
1518565928 Family and Individual Therapeutic Healing LLC Counselor 300 Long Pointe Ln Ste 220-b, Columbia, SC 29229-7543 2020-10-16
1093321150 Cynthia Roark Counselor 1021 Pinnacle Point Dr Ste 120, Columbia, SC 29223-5740 2020-09-23
1033722871 Laine Jones Counselor 455 Saint Andrews Rd # Suittec1, Columbia, SC 29210-4486 2020-08-30
1952914988 Oprah Ingram Counselor 9570 Two Notch Rd Ste 8, Columbia, SC 29223-4309 2020-08-28
1093339897 Bryant Rogers Counselor 2 Hempstead Pl, Columbia, SC 29229-7762 2020-06-08
1821627498 Christi Stewart Counselor 1809 Atascadero Dr, Columbia, SC 29206-1413 2020-04-06
1316577299 Chandra Hope Mossine Counselor 2012 Cherry Hill Dr Ste 102b, Columbia, MO 65203-5882 2020-01-20
1871132233 Patricia Dudley Counselor 6659 Buckstone Ct, Columbia, MD 21044-4103 2020-01-03
1871139790 James Roland Blucher Counselor 10545 Jason Ln, Columbia, MD 21044-2212 2019-11-26
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Competitor

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City COLUMBIA
Zip Code 21044

Improve Information

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Dataset Information

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.

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