RAECHEL RUSSO (NPI# 1629677802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629677802 |
| Entity Type | Individual |
| Full Name | RAECHEL RUSSO |
| Practice Address |
12005 E 470 Rd Claremore OK 74017-3737 |
| Practice Telephone | 9183420770 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
12005 E 470 RD |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528090636 | Sheri Lyn Scott | Social Worker | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2006-07-07 |
| 1487252649 | Maci Ann French | Case Manager/Care Coordinator | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-10-10 |
| 1972120418 | Edelia Galvan | Case Manager/Care Coordinator | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-07-01 |
| 1861019895 | Tiffany Raychelle Shepherd | Case Manager/Care Coordinator | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-06-25 |
| 1720604200 | Elissa Mae Ericksen | Peer Specialist | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-06-22 |
| 1215551429 | Sophia Lefrere | Social Worker | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-06-03 |
| 1962025395 | Jill Raburn | Registered Nurse | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-05-20 |
| 1487274346 | Cheyenne Madison Akers | Case Manager/Care Coordinator | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-04-21 |
| 1962030445 | Dakota Ritchie | Case Manager/Care Coordinator | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-03-30 |
| 1326674821 | Jacey Layne Phillips | Case Manager/Care Coordinator | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2020-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
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| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677443 | Steve Blahut | Marriage & Family Therapist | 2680 N. Highway 88, Claremore, OK 74017 | 2012-04-10 |
| 1942391792 | Sandra Leann Gilliland | Marriage & Family Therapist | 1750 N Sioux, Suite B, Claremore, OK 74017-3132 | 2006-09-27 |
| 1932742830 | Noah John Wickham | Marriage & Family Therapist | 1820 N Sioux Ave, Claremore, OK 74017-3133 | 2019-10-23 |
| 1073865796 | Melissa Leeann Kinyon | Marriage & Family Therapist | 24797 S Highway 66, Suite 5, Claremore, OK 74019-2411 | 2012-10-04 |
| 1053681825 | Tabitha A. Valtr | Marriage & Family Therapist | 1222 N Florence Ave Ste A, Claremore, OK 74017-4294 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110110 | Leah Grace Johnson | Marriage & Family Therapist | 14813 Moon Daisy Dr, Edmond, OK 73013-1466 | 2020-10-01 |
| 1952914319 | Jason Odegaard | Marriage & Family Therapist | 9900 Broadway Ext Ste 100, Oklahoma City, OK 73114-6323 | 2020-08-26 |
| 1033727581 | Jennifer Baker, Lmft, LLC | Marriage & Family Therapist | 6425 Nw Cache Rd Ste 215, Lawton, OK 73505-3393 | 2020-07-21 |
| 1407464803 | Dhp Centers Ok LLC | Marriage & Family Therapist | 505 W Vandament Ave Ste B, Yukon, OK 73099-4663 | 2020-07-21 |
| 1760022412 | Rachel Henry | Marriage & Family Therapist | 5550 S Lewis Ave Ste 305, Tulsa, OK 74105-7118 | 2020-01-10 |
| 1912540204 | Pamela Kim Mahn | Marriage & Family Therapist | 15708 Val Ct, Edmond, OK 73013-1799 | 2019-10-20 |
| 1215491758 | Jeanine Ridener | Marriage & Family Therapist | 9212 N Kelley Ave Ste 200, Oklahoma City, OK 73131-2419 | 2019-01-29 |
| 1588137582 | Marie Abraham-robinson | Marriage & Family Therapist | 4806 N Perkins Rd # 3, Stillwater, OK 74075-1701 | 2019-01-02 |
| 1497221634 | Kelsie Ann Krupitzer | Marriage & Family Therapist | 709 Sw 119th St Ste B, Oklahoma City, OK 73170-6080 | 2018-10-15 |
| 1992297196 | Catherine Elisabeth Wolf | Marriage & Family Therapist | 232 Sunset Dr, Tulsa, OK 74114-1240 | 2018-06-04 |
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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.