MRS. KRISTIE ANN RUSSELL (NPI# 1619165941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619165941 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIE ANN RUSSELL |
| Other Name | MISS KRISTIE ANN DARRAH |
| Credential | LCPC NCC |
| Practice Address |
3455 Wing Hill Rd Cobden IL 62920 |
| Practice Telephone | 3143305453 |
| Practice Fax Number | 6188934075 |
| Mailing Telephone | 3143305453 |
| Mailing Fax Number | 6188934075 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326367061 | Kristie Smith Russell | Occupational Therapy Assistant | 2120 Marshall Edwards Dr, Bartow, FL 33830-6731 | 2010-05-20 |
| Street Address |
3455 WING HILL RD |
| City | COBDEN |
| State | IL |
| Zip Code | 62920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930675 | Haley Estes | Social Worker | 413 N. Appleknocker Drive, Cobden, IL 62920 | 2017-09-04 |
| 1508313115 | Dee Dillon | Licensed Practical Nurse | 211 S Appleknocker St, Cobden, IL 62920 | 2016-09-01 |
| 1003873738 | Laura C Mears | Dentist | 103 N Appleknocker, Cobden, IL 62920 | 2006-04-27 |
| 1922277037 | Village Inn Cobden, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 114 Ash Street, Cobden, IL 62920-0457 | 2008-02-22 |
| 1245551688 | Renee Rose Juarez | Developmental Therapist | 440 Oak St, Cobden, IL 62920-2107 | 2010-06-21 |
| 1700863552 | Jennifer E Mihalopulos | Dentist | 103 N. Appleknocker, Cobden, IL 62920-2117 | 2005-12-22 |
| 1720104938 | Cobden Sch Unit Dist 17 | Clinic/Center | 413 N Appleknocker St, Cobden, IL 62920-2121 | 2007-03-21 |
| 1992218937 | Nancy Ellen Mcnitt | Registered Nurse | 413 N Appleknocker St, Cobden, IL 62920-2121 | 2017-11-13 |
| 1285152256 | Allison Brooke Wills | Speech-Language Pathologist | 413 N Appleknocker St, Cobden, IL 62920-2121 | 2017-08-30 |
| 1497922462 | Cobden Unit School District 17 | Clinic/Center | 413 N Appleknocker St, Cobden, IL 62920-2121 | 2008-05-09 |
| Find all providers in zip 62920 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1124629696 | Audra Murphy | Counselor | 1020 E Ogden Ave Ste 204, Naperville, IL 60563-8610 | 2020-11-02 |
| 1811597412 | Mindy Marie Eastling | Counselor | 27240 Dutton Rd, Beecher, IL 60401-5054 | 2020-11-01 |
| 1306446307 | Oak Point Counseling, Pllc | Counselor | 1207 Mchenry Rd Ste 217b, Buffalo Grove, IL 60089-1371 | 2020-10-28 |
| 1508466061 | Kathrin Simac | Counselor | 900 Royal Heights Rd # 2150, Belleville, IL 62226-5457 | 2020-10-26 |
| 1669071288 | Kristin Smith Warden | Counselor | 566 Cedar St, Winnetka, IL 60093-2338 | 2020-10-24 |
| 1538768155 | Angelicare LLC | Counselor | 6650 N Northwest Hwy Ste 215, Chicago, IL 60631-1363 | 2020-10-23 |
| 1568061612 | Donnie L Winget | Counselor | 536 N Division St, Carterville, IL 62918-1006 | 2020-10-20 |
| 1013516145 | Modern Soul Therapy LLC | Counselor | 2000 N Racine Ave Ste 2160, Chicago, IL 60614-4045 | 2020-10-20 |
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.