MRS. CASSANDRA MCCRAE RUSSELL (NPI# 1053672899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053672899 |
| Entity Type | Individual |
| Full Name | MRS. CASSANDRA MCCRAE RUSSELL |
| Credential | MA, LPC |
| Practice Address |
103 Arnet St Ypsilanti MI 48198-5706 |
| Practice Telephone | 7349611990 |
| Practice Fax Number | 7349611996 |
| Mailing Telephone | 7349611990 |
| Mailing Fax Number | 7349611996 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6401002401 | MI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401002401 | MI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6401002401 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710369665 | Cassandra Russell | Licensed Practical Nurse | 207 W Chestnut St, Rome, NY 13440-2739 | 2015-06-26 |
| Street Address |
103 ARNET ST |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821214925 | Jean Butler Cederna | Internal Medicine | 103 Arnet St, Ypsilanti, MI 48198-5706 | 2007-04-17 |
| 1477930014 | Trische Duckworth | Social Worker | 103 Arnet St, Ypsilanti, MI 48198-5706 | 2015-05-04 |
| 1144599556 | Anna Richelle Bristle | Counselor | 103 Arnet St, Ypsilanti, MI 48198-5706 | 2011-12-14 |
| 1922389782 | Michelle L Mccoy | Social Worker | 103 Arnet St, Ypsilanti, MI 48198-5706 | 2011-09-06 |
| 1427262617 | Daniel D Heffernan | Family Medicine | 103 Arnet St, Ypsilanti, MI 48198-5706 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
| 1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
| 1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
| 1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
| 1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
| 1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
| 1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
| 1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
| 1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
| Find all providers in zip 48198 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389007 | Jessica Ryder | Counselor | 910 Maplewood Ave # 2, Ypsilanti, MI 48198-5872 | 2020-09-02 |
| 1295373686 | Carol Eileen Lynch | Counselor | 1048 Janet Ave, Ypsilanti, MI 48198-6409 | 2019-12-16 |
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1356808570 | Maria Del Carmen Lizcano | Counselor | 9775 Ravenshire Dr, Ypsilanti, MI 48198-3287 | 2019-02-24 |
| 1336618552 | Therapy United LLC | Counselor | 993 Parkwood Ave, Ypsilanti, MI 48198-5873 | 2018-11-16 |
| 1770009110 | Jewels of Hope, LLC | Counselor | 5229 W Michigan Ave, Ypsilanti, MI 48197-8887 | 2017-08-17 |
| 1033664065 | Sima Haghpassand IIi | Counselor | 7716 Pioneer Dr, Ypsilanti, MI 48197-9462 | 2016-08-19 |
| 1568820918 | Charles Denton | Counselor | 4099 Green Meadows Blvd Apt 111, Ypsilanti, MI 48197-7226 | 2016-01-31 |
| 1982071585 | Catherine Brenen | Counselor | 896 Hawthorne Ave, Ypsilanti, MI 48198-5824 | 2015-08-31 |
| 1588052591 | Kathryn L Ryan | Counselor | 1606 S Huron St, Ypsilanti, MI 48197-9663 | 2014-12-27 |
| Find all providers in YPSILANTI | ||||
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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.