ALEXA RUSSELL (NPI# 1134778889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134778889 |
| Entity Type | Individual |
| Full Name | ALEXA RUSSELL |
| Credential | QMHS BA CMS BA |
| Practice Address |
3094 W Market St Ste 105 Fairlawn OH 44333-3617 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | OH | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | OH | Agencies |
| Street Address |
3094 W MARKET ST STE 105 |
| City | FAIRLAWN |
| State | OH |
| Zip Code | 44333-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407137946 | Nicole D West | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333 | 2011-08-29 |
| 1588262315 | Lauren Baker | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-10-14 |
| 1184231854 | Matthew C Neal | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-28 |
| 1871100909 | Candice Braham | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-23 |
| 1548874878 | Courtney Anne James | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-03 |
| 1013521582 | Katerina Heppe | Marriage & Family Therapist | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-02 |
| 1497388805 | Dolores Hammerling | Peer Specialist | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-02-14 |
| 1164066676 | Carly Chapman | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-10-29 |
| 1598315517 | Salvatore M Ruggeri | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-09-12 |
| 1770130742 | Erin Conner | Social Worker | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| 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 |
|---|---|---|---|---|
| 1922161587 | Care Focus, Inc. | Community/Behavioral Health | 3560 W Market St, Suite 340, Fairlawn, OH 44333-3336 | 2006-12-18 |
| 1568939882 | Tina E Smrekar | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-10-24 |
| 1508332206 | Serita J Eiland | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-10-19 |
| 1669947289 | Jordan Davis | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-10-10 |
| 1508350174 | Marc L Neal | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-06-18 |
| 1164915260 | Sarah Ann Robinson | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-06-13 |
| 1760970602 | Jennifer Lynne Barnard | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-04-26 |
| 1740787746 | Christina Lugli | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-04-07 |
| 1023515020 | Jessica Long | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-04-07 |
| 1477052918 | Sarah F Shirk | Community/Behavioral Health | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-02-11 |
| Find all providers in FAIRLAWN | ||||
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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.