TATESHA RUSSELL (NPI# 1457993180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457993180 |
| Entity Type | Individual |
| Full Name | TATESHA RUSSELL |
| Practice Address |
227 Thorn Ave Orchard Park NY 14127-2600 |
| Practice Telephone | 7166622040 |
| Practice Fax Number | 7166620019 |
| Mailing Telephone | 7166622040 |
| Mailing Fax Number | 7166620019 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
227 THORN AVE |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598706285 | Audrey Johnston | Social Worker | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2006-06-10 |
| 1134735996 | Ashley Gorny | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2020-09-17 |
| 1689292864 | Judy Matney | Contractor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2020-07-14 |
| 1255952586 | Michelle Mercer | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2020-04-28 |
| 1083235311 | Sarah Osborne | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2020-04-28 |
| 1730717208 | Constance Lloyd | Social Worker | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2020-03-31 |
| 1154952521 | Jessica Nenni | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2020-02-04 |
| 1033751789 | Zachary Bodack | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2019-10-15 |
| 1548813306 | Rebecca Cobin | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2019-07-22 |
| 1659933885 | Danielle Ludwick | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466651 | Elizabeth Dierenfield | Counselor | 3345 Southwestern Blvd Ste 100, Orchard Park, NY 14127-1506 | 2020-04-16 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1063873503 | Carol Jensen | Counselor | 3100 Baker Rd, Orchard Park, NY 14127-1443 | 2016-03-11 |
| 1134555824 | Amy Calabrese | Counselor | 3176 Abbott Road, Building A, Suite 500, Orchard Park, NY 14127 | 2013-09-25 |
| 1619220902 | Nyenya Tooles | Counselor | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2012-10-24 |
| 1598995193 | Lynn Ann Gorczyca | Counselor | 3176 Abbott Corners Pros, Abbott Corners Pros, Orchard Park, NY 14127 | 2009-07-17 |
| 1134735996 | Ashley Gorny | Counselor | 227 Thorn Ave, Orchard Park, NY 14127-2600 | 2020-09-17 |
| 1780299784 | Adrael Asai Johnson | Counselor | 3176 Abbott Rd Unit 500, Orchard Park, NY 14127-1069 | 2020-09-15 |
| 1205446432 | Nyala Ahmed | Counselor | 3345 Southwestern Blvd, Orchard Park, NY 14127-1506 | 2020-08-03 |
| 1275156283 | Amanda Margaret Augustine | Counselor | 3045 Southwestern Blvd, Orchard Park, NY 14127-1209 | 2020-05-26 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.