MR. MARCUS RAMON RUSS


Address: 124 Mallard Street, Greenville, SC 29601-4046
Phone: 8642411040

MR. MARCUS RAMON RUSS (NPI# 1639553209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639553209
Entity Type Individual
Full Name MR. MARCUS RAMON RUSS
Practice Address 124 Mallard Street
Greenville
SC 29601-4046
Practice Telephone 8642411040
Practice Fax Number 8642418189
Mailing Telephone 8642411040
Mailing Fax Number 8642418189
Enumeration Date 2015-07-14
Last Update Date 2015-07-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 301100 05

Office Location

Street Address 124 MALLARD STREET
City GREENVILLE
State SC
Zip Code 29601-4046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033130067 Karen Sue Stacher Psychiatry & Neurology 124 Mallard Street, Greenville, SC 29601-4046 2006-07-23
1639617111 Julia Aileen Milligan Counselor 124 Mallard Street, Greenville, SC 29601-4046 2017-02-06
1528518859 Felicia Moniqw Clark Registered Nurse 124 Mallard Street, Greenville, SC 29601-4046 2016-10-11
1346798238 Dawn Marie Gossett Counselor 124 Mallard Street, Greenville, SC 29601 2016-09-20
1104283159 Karis Bridner Coster Registered Nurse 124 Mallard Street, Greenville, SC 29601-4046 2016-01-21
1275999203 Angela L Young Counselor 124 Mallard Street, Greenville, SC 29601 2016-01-06
1528433901 B. Lauryn Hammock Counselor 124 Mallard Street, Greenville, SC 29601-4046 2015-12-10
1720450174 Lawson Arbuur Clark Counselor 124 Mallard Street, Greenville, SC 29601-4046 2015-10-26
1164894515 Anngarner Williamson Counselor 124 Mallard Street, Greenville, SC 29601-4046 2015-10-26
1912385329 Miranda J.m.k. Llano Counselor 124 Mallard Street, Greenville, SC 29601-4046 2015-05-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700305620 True Sleep Diagnostics Clinic/Center 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 2017-09-12
1245786813 Yvette Ombougno Registered Nurse 200 University Ridge, Greenville, SC 29601 2016-09-01
1477921823 Laura Gore Siefert Registered Nurse 1 Saint Francis Drive, Greenville, SC 29601 2015-09-02
1821493826 Sarah Fuller Counselor 602 Pettigru St, Greenville, SC 29601 2014-11-03
1689088932 Chenille Taylor Nurse Practitioner 201 N. Main Street, Greenville, SC 29601 2014-06-15
1861827842 Caritas Counseling Services LLC Community/Behavioral Health 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 2013-09-09
1568790335 Lynn A. Victory Counselor 710 Pettigru Street, The Cottage, Greenville, SC 29601 2009-12-06
1386971448 Lisa Speach Nurse Practitioner 3 St. Francis Drive, Suite 300, Greenville, SC 29601 2009-11-11
1851528418 Adam Shawn Riffle Specialist/Technologist 175 Patewood Drive, Greenville, SC 29601 2009-06-22
1114178332 Margaret W. Lee Psychologist 412 Pettigru St., Suite C, Greenville, SC 29601 2008-10-07
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710522586 Samuel Bethea Cann V Counselor 212 Whitsett St, Greenville, SC 29601-3141 2019-11-15
1417591827 Michael Nicholson Counselor 1990 Augusta St Ste 204, Greenville, SC 29605-6505 2019-10-30
1457993123 Innovation Counseling Services Counselor 8 Sycamore Dr Ste B9, Greenville, SC 29607-2965 2019-10-14
1316591498 Nelzarie I Wynn Counselor 151 Commons Way, Greenville, SC 29611-3850 2019-07-28
1356809990 Atlantic Consulting and Therapy Specialists, Pa Counselor 3493-e Evans Street, Greenville, NC 27834-4535 2019-03-02
1710462916 Bennett's Counseling Services Counselor 1478 Old Central Rd, Greenville, AL 36037-6159 2018-10-03
1154839694 Tiffany Nicole Ceasar Counselor 365 W Reed Rd Ste 1a, Greenville, MS 38701-6967 2018-01-18
1225552557 Stephanie Epley Counselor 365 West Reed Rd Ste A-1, Greenville, MS 38701 2017-07-28
1629591391 Tenesha Marshall Counselor 365 W Reed Rd # A-1, Greenville, MS 38701-6967 2017-07-25
1871016428 Damon Loren Rappleyea Counselor 300 E Arlington Blvd Ste 9a, Greenville, NC 27858-5050 2017-07-25
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29601

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Dataset Information

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.

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