KRISTINA RUSSELL (NPI# 1558839746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558839746 |
| Entity Type | Individual |
| Full Name | KRISTINA RUSSELL |
| Credential | LLPC, LLMFT |
| Practice Address |
3351 Claystone St Se Ste G-32 Grand Rapids MI 49546-5794 |
| Mailing Address |
918 Fairfield Ave Nw Grand Rapids MI 49504-3746 |
| Practice Telephone | 6162882558 |
| Mailing Telephone | 6162603634 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401016900 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 4101006827 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831486802 | Kristina T Russell | Social Worker | 1525 Sander Ct Apt 316, Wheeling, IL 60090-5960 | 2011-06-29 |
| 1497367189 | Kristina Deniece Russell | Specialist/Technologist, Other | 1901 N Macarthur Blvd, Irving, TX 75061-2220 | 2020-08-23 |
| 1811516115 | Kristina Russell | Counselor | 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 | 2020-04-16 |
| 1497130819 | Kristina Russell | Marriage & Family Therapist | 2934 N Fresno St, Fresno, CA 93703-1123 | 2015-07-27 |
| 1780810911 | Kristina Marie Russell | Physical Therapist | 6408 Copps Ave, Monona, WI 53716-3702 | 2009-06-02 |
| 1215117601 | Kristina D Russell | Dentist | 2171 Siesta Dr, Sarasota, FL 34239-5235 | 2007-11-14 |
| 1295878361 | Kristina R Russell | Physical Therapist | 6000 N Allen Road, Peoria, IL 61614-3294 | 2007-02-15 |
| Street Address |
3351 CLAYSTONE ST SE STE G-32 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-5794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265971121 | Perianne Murphy Vanbelois | Counselor | 3351 Claystone St Se Ste G-32, Grand Rapids, MI 49546-5794 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1235755943 | Klear Counseling Pllc | Counselor | 2504 Ardmore St Se Ste 202a, Grand Rapids, MI 49506-4901 | 2020-06-18 |
| 1073149175 | Rebecca Lynn May | Counselor | 6810 Old 28th St Se Ste 4, Grand Rapids, MI 49546-6932 | 2020-03-20 |
| 1194358234 | Carrie Deering | Counselor | 2511 Sagewood Ave Ne Unit 808, Grand Rapids, MI 49525-2950 | 2020-02-18 |
| 1134764228 | Desiree D Davis | Counselor | 2730 5 Mile Rd Ne Ste 101, Grand Rapids, MI 49525-6518 | 2019-11-12 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1528613882 | Amanda D Stowitts | Counselor | 17 Lowell Ave Ne, Grand Rapids, MI 49503-3759 | 2019-08-05 |
| 1730664392 | Nicole K Turek | Counselor | 149 Houseman Ave Ne, Grand Rapids, MI 49503-3538 | 2018-09-30 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1922547017 | Savannah Marie Beezhold | Counselor | 1724 Sherwood Dr Se, Grand Rapids, MI 49506-5039 | 2017-02-22 |
| 1104365543 | Milinda Worley | Counselor | 648 Monroe Ave Nw Ste 100, Grand Rapids, MI 49503-6714 | 2017-02-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on KRISTINA 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.