SUSAN M. RUSSELL (NPI# 1487793907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487793907 |
| Entity Type | Individual |
| Full Name | SUSAN M. RUSSELL |
| Credential | LCPC |
| Practice Address |
319 Union St Bangor ME 04401-4607 |
| Mailing Address |
34 Beechwood Ave Old Town ME 04468-9749 |
| Practice Telephone | 2079422199 |
| Mailing Telephone | 2078278977 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC 2971 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 231900099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045379 | Susan Elizabeth Russell | Counselor | 201 Maple St, East Jordan, MI 49727-9620 | 2013-12-15 |
| 1477806396 | Susan Kay Russell | Licensed Practical Nurse | 913 W Holmes Rd Ste 189, Lansing, MI 48910-0434 | 2012-10-16 |
| 1083895296 | Susan Payne Russell | Social Worker | 1085 Tunnel Road, Suite#3, Asheville, NC 28805-2039 | 2007-11-15 |
| 1235348137 | Susan Marie Russell | Counselor | 4018 Medina Rd Ste D, Medina, OH 44256-9675 | 2007-05-21 |
| 1811000441 | Susan Ann Russell | Pharmacist | I-40, Exit 102, San Fidel, NM 87049 | 2006-08-17 |
| 1194733618 | Susan M. Russell | Speech-Language Pathologist | 10749 E 29th Pl, Tulsa, OK 74129-7805 | 2006-08-03 |
| 1134501810 | Susan Hallie Russell | Counselor | 5855 Executive Center Dr Ste 104, Charlotte, NC 28212-8880 | 2015-06-18 |
| 1558644617 | Susan F Russell | Psychologist | 4343 Shallowford Rd, Suite H-5, Marietta, GA 30062-5023 | 2011-09-26 |
| 1245486331 | Susan Renee Russell | Internal Medicine | 675 N Saint Clair St, Suite 18-250, Chicago, IL 60611-5975 | 2008-08-08 |
| 1477717577 | Susan C Russell | Counselor | 175 W B St Ste I, Springfield, OR 97477-4575 | 2008-07-17 |
| Street Address |
319 UNION ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700294931 | Shelli Hanscom | Social Worker | 319 Union St, Bangor, ME 04401-4798 | 2014-07-31 |
| 1104034479 | Ann A. Hartman | Social Worker | 319 Union St, Bangor, ME 04401-4607 | 2007-05-19 |
| 1780797753 | Elaine Rosalie Piecuch | Social Worker | 319 Union St, Bangor, ME 04401-4798 | 2006-08-16 |
| 1639126097 | Celeste V Reed Hanish | Social Worker | 319 Union St, Bangor, ME 04401-4607 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1104476811 | Janet May | Counselor | 49 16th St, Bangor, ME 04401-3122 | 2019-09-14 |
| 1811471766 | Tristan Oliver Greenlaw | Counselor | 9 Central St Ste 401, Bangor, ME 04401-5168 | 2018-09-17 |
| 1699257782 | Jesse Robinson Call | Counselor | 304 Hancock St Ste 3b, Bangor, ME 04401-6573 | 2018-09-05 |
| 1225551203 | Macy Marie Pelletier | Counselor | 30 Summer St Ste 5, Bangor, ME 04401-6467 | 2017-07-20 |
| 1356680995 | Kaleigh Marie Dupuis | Counselor | 43 Columbia St Ste 12, Bangor, ME 04401-6346 | 2013-02-01 |
| 1063651792 | Tamara J Hunt | Counselor | 31 Central St Ste 201, Bangor, ME 04401-5146 | 2009-02-19 |
| 1093872327 | Keith Laplante | Counselor | 70 E Broadway, Bangor, ME 04401-3425 | 2007-01-03 |
| 1003971912 | Debbie Lynn Webber | Counselor | 24 Springer Road, 1 Springer Place Suite 202, Bangor, ME 04401 | 2006-12-22 |
| 1871676890 | Robin V Hamilton | Counselor | 304 Hancock St Ste 2b, Families and Children Together, Bangor, ME 04401-6573 | 2006-10-23 |
| Find all providers in BANGOR | ||||
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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.