MRS. JENNIFER RETTE RUSSELL (NPI# 1366875015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366875015 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER RETTE RUSSELL |
| Credential | LPC, RPT |
| Practice Address |
14673 Midway Rd Suite 211 Addison TX 75001-7500 |
| Mailing Address |
512 Cap Rock Dr Ste 211 Richardson TX 75080-2306 |
| Practice Telephone | 4697087650 |
| Mailing Telephone | 4697087650 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
71168 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316348931 | Jennifer L Russell | Registered Nurse | 421 Yoctangee Pkwy, Chillicothe, OH 45601-1663 | 2014-09-15 |
| 1164850137 | Jennifer Russell | Veterinarian | 3501 Evergreen Way, Washougal, WA 98671-9142 | 2013-10-29 |
| 1497045033 | Jennifer Ann Russell | Counselor | 13 Barclay St, #2, Worcester, MA 01604-4207 | 2011-04-17 |
| 1497065577 | Jennifer Russell | Occupational Therapy Assistant | 6804 Sanger Ave, #227, Waco, TX 76710-4257 | 2010-10-07 |
| 1467691931 | Jennifer Carol Russell | Speech-Language Pathologist | 121 Bay Ridge Ct, Shelton, WA 98584-3608 | 2009-02-06 |
| 1265552160 | Jennifer Ann Russell | Dentist | 13752 Lakeridge Dr, Fishers, IN 46037-7608 | 2007-04-02 |
| 1205986858 | Jennifer S Russell | Obstetrics & Gynecology | 13005 Us Highway 301 S, Riverview, FL 33578-7439 | 2007-01-12 |
| 1134276173 | Jennifer M Russell | Marriage & Family Therapist | 2249 Oak Glen Dr, Stillwater, MN 55082-9631 | 2007-01-04 |
| 1649375981 | Jennifer Russell | Nurse Practitioner | 400 Martin Luther King Dr E, Cincinnati, OH 45229-3367 | 2006-09-13 |
| 1881239457 | Jennifer L Russell | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-11-07 |
| Street Address |
14673 MIDWAY RD SUITE 211 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548463375 | Garica Sanford | Psychologist | 14673 Midway Rd, 213, Addison, TX 75001-3171 | 2007-06-08 |
| 1891249298 | Deborah Galindo | Psychologist | 14673 Midway Rd, 213, Addison, TX 75001-3171 | 2016-08-15 |
| 1578961595 | Elizabeth Blair Kenney | Psychologist | 14673 Midway Rd, #213, Addison, TX 75001-3171 | 2014-12-08 |
| 1285032375 | Great Life Counseling | Psychologist | 14673 Midway Rd, Ste. 213, Addison, TX 75001-3171 | 2014-12-05 |
| 1902176415 | Lambert Psychology, Pllc | Psychologist | 14673 Midway Rd, 213, Addison, TX 75001-3171 | 2012-01-01 |
| 1255577441 | Karen Dumas | Counselor | 14673 Midway Rd, Suite 115, Addison, TX 75001-3171 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043778442 | Push Prenatal and Postpartum Counseling, Pllc | Counselor | 4811 Broadway St Ste 4, Addison, TX 75001-4694 | 2019-03-05 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1548621154 | Stacy Anne Ramsey | Counselor | 14679 Midway Rd. Ste 200, Addison, TX 75001 | 2016-03-09 |
| 1568828523 | Denise Walker | Counselor | 14673 Midway Rd Ste 110, Addison, TX 75001-3958 | 2016-01-06 |
| 1700197662 | Brooke Erin West | Counselor | 15028 Beltway Dr, Addison, TX 75001-3709 | 2010-06-25 |
| 1194991521 | Sabrina Gharib | Counselor | 15851 Dallas Pkwy Ste 600, Addison, TX 75001-6030 | 2008-05-06 |
| 1235275413 | Meera Rao-bette | Counselor | 15305 Dallas Pkwy, Suite 300, Addison, TX 75001-4637 | 2007-01-29 |
| 1346307907 | Felice Fuqua Aboud | Counselor | 14679 Midway Rd Ste 200, Addison, TX 75001-3196 | 2007-01-03 |
| 1437232279 | Cathy Jane Zelzer | Counselor | 14833 Midway Rd Ste 210, Addison, TX 75001-4936 | 2006-10-23 |
| 1992314397 | Marijo Medina Villano | Counselor | 14275 Midway Rd Ste 260, Addison, TX 75001-3613 | 2020-07-30 |
| Find all providers in ADDISON | ||||
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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.