SALVATORE RUSSO (NPI# 1518318153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518318153 |
| Entity Type | Individual |
| Full Name | SALVATORE RUSSO |
| Credential | L.L.P.C. |
| Practice Address |
11270 E 13 Mile Rd Warren MI 48093-2599 |
| Practice Telephone | 5867389320 |
| Practice Fax Number | 5867513201 |
| Mailing Telephone | 5867389320 |
| Mailing Fax Number | 5867513201 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2017-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401015475 | MI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6401015475 | MI | Behavioral Health & Social Service Providers |
| Street Address |
11270 E 13 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281997 | Donald A Campbell Jr. | Family Medicine | 11270 E 13 Mile Rd, Suite 4, Warren, MI 48093-2599 | 2005-08-09 |
| 1518490564 | Shena Marie Riddle | Social Worker | 11270 E 13 Mile Rd, Ste 200, Warren, MI 48093-2599 | 2017-04-06 |
| 1265882724 | Paige Rochelle Lewen | Social Worker | 11270 E 13 Mile Rd, Warren, MI 48093 | 2016-06-15 |
| 1154793750 | Hannah Van Allen | Nurse Practitioner | 11270 E 13 Mile Rd, Suite 4, Warren, MI 48093-2599 | 2015-10-22 |
| 1801131917 | Matthew Baron | Counselor | 11270 E 13 Mile Rd, Warren, MI 48093 | 2012-11-29 |
| 1326356676 | Sara Vandenberg | Psychologist | 11270 E 13 Mile Rd, Warren, MI 48093-2599 | 2010-09-21 |
| 1568638609 | Stuart L Davidson D D S P C | Dentist | 11270 E 13 Mile Rd, Suite 3a, Warren, MI 48093-2599 | 2008-05-07 |
| 1831223767 | Jacqueline Kupper | Social Worker | 11270 E 13 Mile Rd, Warren, MI 48093-2599 | 2007-03-15 |
| 1023154101 | Gregory Scott Apsey | Dentist | 11270 E 13 Mile Rd, Suite #1a, Warren, MI 48093-2599 | 2007-01-29 |
| 1649238817 | Kristen Foley Panozzo | Family Medicine | 11270 E 13 Mile Rd, Suite 4, Warren, MI 48093-2599 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1528454469 | Lp Counseling L.L.C. | Counselor | 29856 Schoenherr Rd Ste 2, Warren, MI 48088-3600 | 2015-04-07 |
| 1528304607 | Debra Loving | Counselor | 30101 Hoover Rd Ste 1, Warren, MI 48093-6572 | 2012-12-18 |
| 1689983470 | Cynthia A Zeisler | Counselor | 1050 East Market St., Warren, OH 44483 | 2010-09-28 |
| 1487790028 | Psycare, Inc. | Counselor | 235 Main Ave Sw, Warren, OH 44481-1012 | 2007-01-30 |
| 1578674107 | William L Lempka | Counselor | 1192 North Rd Ne, Warren, OH 44483-4521 | 2006-08-31 |
| 1447207873 | Jennifer Ann Popour-jones | Counselor | 272 Youngs Run, Warren, OH 44483 | 2006-05-30 |
| 1235754052 | Adam Lonardo | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-06-09 |
| 1982239265 | Amanda Kay Jung | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-03-07 |
| 1760014419 | Victoria Michelle Burton | Counselor | 6902 Chicago Rd, Warren, MI 48092-1686 | 2020-02-11 |
| Find all providers in WARREN | ||||
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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.