RUSSELL CHUMLEY (NPI# 1144636598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144636598 |
| Entity Type | Individual |
| Full Name | RUSSELL CHUMLEY |
| Practice Address |
4579 South Eason Boulevard Tupelo MS 38801 |
| Mailing Address |
Po Box 4581 Tupelo MS 38803-4581 |
| Practice Telephone | 6623773115 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
0481 | MS | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | T0358 | MS | Behavioral Health & Social Service Providers |
| Street Address |
4579 SOUTH EASON BOULEVARD |
| City | TUPELO |
| State | MS |
| Zip Code | 38801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689094369 | West Couseling Services LLC | Marriage & Family Therapist | 1601 W Main St Ste D, Tupelo, MS 38801-3300 | 2014-04-22 |
| 1174788939 | John A Rasberry, Jr. Jr. | Marriage & Family Therapist | 602 Jefferson St., Tupelo, MS 38804 | 2008-07-22 |
| 1326454497 | Rhonda Smart | Marriage & Family Therapist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-09 |
| 1801202148 | Rodney Rogers | Marriage & Family Therapist | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593470 | Britney Mangum Huber | Marriage & Family Therapist | 607 Corinne St Ste A2, Hattiesburg, MS 39401-3827 | 2020-09-18 |
| 1013526284 | Therapy Today, LLC | Marriage & Family Therapist | 1045 Church Rd E Ste 2b, Southaven, MS 38671-9702 | 2020-07-23 |
| 1942823422 | Terry Matthews | Marriage & Family Therapist | 1045 Church Rd E, Southaven, MS 38671-9702 | 2020-05-19 |
| 1144843772 | Sonya Sebren Summerlin | Marriage & Family Therapist | 17 Peachtree Ln, Madison, MS 39110-9217 | 2020-05-18 |
| 1306488705 | Vinalrae Brame | Marriage & Family Therapist | 607 Corinne St Ste A2office, Hattiesburg, MS 39401-3831 | 2019-10-17 |
| 1811559909 | Graystone Group LLC | Marriage & Family Therapist | 2218 18th St Ste B, Gulfport, MS 39501-2911 | 2019-06-28 |
| 1275009565 | Bahar Dunn | Marriage & Family Therapist | 292 Commerce Park Dr Ste C, Ridgeland, MS 39157-2239 | 2018-10-15 |
| 1871086611 | Adrienne L. Hearn | Marriage & Family Therapist | 580 S Pear Orchard Rd Apt 623, Ridgeland, MS 39157-4212 | 2018-06-06 |
| 1740792209 | Paula Hollingsworth | Marriage & Family Therapist | 5 Orleans Dr Ste 2, Hattiesburg, MS 39402-8675 | 2017-10-24 |
| 1043734080 | Naomi Fortune Muffuletto | Marriage & Family Therapist | 1151 North State Street, Suite 212, Jackson, MS 39202-2467 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
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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.