STACY RUSSELL (NPI# 1336344472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336344472 |
| Entity Type | Individual |
| Full Name | STACY RUSSELL |
| Credential | LPCC |
| Practice Address |
2265 Como Ave Saint Paul MN 55108-1737 |
| Practice Telephone | 6516455323 |
| Mailing Telephone | 6516455323 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
P618 | NE | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2009006870 | MO | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
8293 | NE | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC00781 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639622566 | Stacy Lyn Russell | Counselor | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2016-07-27 |
| 1407246259 | Stacy Russell | Pharmacy Technician | 4000 Monument Rd, Philadelphia, PA 19131-1600 | 2015-02-02 |
| 1760802433 | Stacy Lee Russell | Nurse Practitioner | 2850 S Industrial Hwy Ste 50, Ann Arbor, MI 48104-6792 | 2014-04-22 |
| 1861773996 | Stacy Russell | Physical Therapist | 17350 St Lukes Way, Suite 100, The Woodlands, TX 77384-4100 | 2011-09-02 |
| 1689979338 | Stacy Russell | Speech-Language Pathologist | 1102 Winkler Ave, Killeen, TX 76542-6249 | 2011-01-11 |
| 1295921336 | Stacy Russell | Physical Therapist | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-09-22 |
| 1275744328 | Stacy Dale Russell | Physical Therapist | 5050 S Florida Ave, Lakeland, FL 33813-2501 | 2007-05-24 |
| Street Address |
2265 COMO AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821075359 | Monique A Silver | Psychologist | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2005-12-27 |
| 1578160081 | Erica Schiller Freeman | Student in an Organized Health Care Education/Training Program | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2020-10-07 |
| 1962030759 | Amy Kathryn Barkley | Student in an Organized Health Care Education/Training Program | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2020-03-29 |
| 1811543200 | Meghan Goodman | Dietitian, Registered | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-08-13 |
| 1962054437 | Alexandra Pokorny | Nurse Practitioner | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-07-15 |
| 1750943031 | Alexis Lynn Weisser | Dietitian, Registered | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-07-08 |
| 1750941423 | Lauren Elizabeth Moody | Psychologist | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-06-16 |
| 1326606864 | Lindsay K Midura | Nutritionist | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-05-30 |
| 1457914160 | Jessica Marion Clark | Nurse Practitioner | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-04-18 |
| 1205393667 | Amanda Hookom | Dietitian, Registered | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386045 | Jill Thompson | Counselor | 1550 Eustis St Apt H, Saint Paul, MN 55108-1211 | 2020-08-10 |
| 1447892211 | Kimberly Marette | Counselor | 762 Transfer Rd Ste 116, Saint Paul, MN 55114-4506 | 2019-10-14 |
| 1639711641 | Megan Jean Manty | Counselor | 393 Dunlap St N Ste 300, Saint Paul, MN 55104-4207 | 2019-10-10 |
| 1417510124 | Hannah Kleese | Counselor | 1154 Grand Ave Unit 2, Saint Paul, MN 55105-2628 | 2019-04-17 |
| 1487116307 | Eric Wittkopf | Counselor | 1821 University Ave W Ste N180, Saint Paul, MN 55104-2803 | 2019-04-01 |
| 1467927087 | Kathleen Renee Semke | Counselor | 700 8th St E, Saint Paul, MN 55106-4414 | 2018-10-10 |
| 1750819777 | Laureen Ann Schwartz | Counselor | 338 Snelling Ave S, Saint Paul, MN 55105-2048 | 2017-06-03 |
| 1114468238 | Benjamin Kline | Counselor | 1163 Matilda St, Saint Paul, MN 55117-4820 | 2017-03-09 |
| 1841672623 | Linda Lee Labarre | Counselor | 68 Maria Ave, Saint Paul, MN 55106-6307 | 2015-06-29 |
| 1952789349 | Terry Campbell | Counselor | 333 Grand Ave Ste 204, Saint Paul, MN 55102-2583 | 2015-05-18 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
Please comment or provide details below to improve the information on STACY RUSSELL.
| 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.