MS. DESHANON MARIE COBB- RUSSELL (NPI# 1669936720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669936720 |
| Entity Type | Individual |
| Full Name | MS. DESHANON MARIE COBB- RUSSELL |
| Credential | B.S. |
| Practice Address |
2439 Manhattan Blvd Ste 403 Harvey LA 70058-5328 |
| Practice Telephone | 5043685905 |
| Mailing Telephone | 5043685905 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2439 MANHATTAN BLVD STE 403 |
| City | HARVEY |
| State | LA |
| Zip Code | 70058-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497104954 | Carol Watson Smith | Registered Nurse | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058-5328 | 2016-06-06 |
| 1174096929 | Maxima Group Behavioral Services | Community/Behavioral Health | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058-5328 | 2019-01-04 |
| 1932699055 | Vonda Marie Thompson | Case Manager/Care Coordinator | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058 | 2018-05-14 |
| 1841718814 | Byron Lee | Counselor | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058-5328 | 2017-08-30 |
| 1861932451 | Optimum Management and Consulting Group, LLC | Community/Behavioral Health | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058-5328 | 2017-03-01 |
| 1083157390 | Joshua Lemar Slaughter | Community/Behavioral Health | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058-5328 | 2016-11-18 |
| 1033666557 | La Drier Williams | Counselor | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058-5328 | 2016-09-01 |
| 1336696996 | Treva Meredith | Counselor | 2439 Manhattan Blvd Ste 403, Harvey, LA 70058 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853003 | Carmen Nikita Ward-lewis | Counselor | 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 | 2020-02-19 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1316436447 | Affiliated Heart2heart Homecare Services, Inc. | In Home Supportive Care | 1901 Westbank Expy Ste 600, Harvey, LA 70058 | 2018-05-03 |
| 1720595804 | Alkeisha Lachelle Clark | Counselor | 4209 L Ac Couture Dr., D, Harvey, LA 70058 | 2018-01-10 |
| 1659888253 | Kevin A Velasquez | Psychologist | 81 Lake Lynn Dr, Harvey, LA 70058 | 2018-01-04 |
| 1629582937 | Tessie Hart | Counselor | 426 Manhattan Blvd., Harvey, LA 70058 | 2017-11-22 |
| 1326557562 | Lauretta Anne Gavin | Counselor | 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 | 2017-09-20 |
| 1760908792 | Eboni Dillon | Counselor | 3148 Keith Way Dr, Harvey, LA 70058 | 2017-08-22 |
| 1194246207 | Shawn Galmore | Counselor | 2808 Keithway Dr, Harvey, LA 70058 | 2017-06-28 |
| 1750811345 | Elite Learning Academy | Private Vehicle | 1913 Sugarloaf Drive, Harvey, LA 70058 | 2017-06-15 |
| Find all providers in zip 70058 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205471778 | Nequan J Payne | Case Manager/Care Coordinator | 4204 Lac Bienville Dr Apt D, Harvey, LA 70058-5290 | 2019-11-08 |
| 1811481757 | Natalie Renee Williams | Case Manager/Care Coordinator | 1013 Manhattan Blvd Apt 169, Harvey, LA 70058-4687 | 2018-06-14 |
| 1922530021 | Jakia Watts | Case Manager/Care Coordinator | 3172 Touchwood Dr, Harvey, LA 70058-1625 | 2017-03-29 |
| 1760932768 | Kenneth Manard Jr. | Case Manager/Care Coordinator | 2439 Manhattan Blvd Ste 301, Harvey, LA 70058 | 2016-10-13 |
| 1538524160 | Keitress Adams | Case Manager/Care Coordinator | 2700 Whitney Ave, Bldge. 20 Apt. 404, Harvey, LA 70058 | 2015-12-26 |
| 1891150421 | Annette Williams | Case Manager/Care Coordinator | 1120 Tensas Dr Apt C, Harvey, LA 70058-4528 | 2015-12-26 |
| 1649635392 | Kimberlyn Thompson | Case Manager/Care Coordinator | 2700 Whitney Ave Apt 316, Harvey, LA 70058-3340 | 2015-12-23 |
| 1578938486 | Karen Dishman | Case Manager/Care Coordinator | 3841 Morriswood Dr, Harvey, LA 70058-1934 | 2015-12-02 |
| 1407457484 | Brandon Nyguamy Cannon | Case Manager/Care Coordinator | 1901 Westbank Expy Ste 550, Harvey, LA 70058-4362 | 2020-11-05 |
| 1467051433 | Ishmir Wafiq | Case Manager/Care Coordinator | 2439 Manhattan Blvd Ste 402, Harvey, LA 70058-5469 | 2020-10-21 |
| Find all providers in HARVEY | ||||
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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.