LARS RICHARD RUSSELL (NPI# 1104423466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104423466 |
| Entity Type | Individual |
| Full Name | LARS RICHARD RUSSELL |
| Practice Address |
43335 K Beach Rd Ste 36 Soldotna AK 99669-8280 |
| Practice Telephone | 9072626331 |
| Mailing Telephone | 9072626331 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AK | Behavioral Health & Social Service Providers |
| Street Address |
43335 K BEACH RD STE 36 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-8280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972703866 | Kandice Hightower | Case Manager/Care Coordinator | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2007-07-19 |
| 1235737107 | Katherine R Flanders | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-13 |
| 1013515386 | Nicholas Kolanach | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-09 |
| 1497352231 | Pierce James Svec | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-05 |
| 1174120984 | Ronald Paul | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-05 |
| 1710584727 | Amanda Starr-marrie Wilcox | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-02 |
| 1528665536 | Christian Kelly Foldenauer | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-02 |
| 1720685738 | Christina Wells | Peer Specialist | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-02 |
| 1457968620 | Isaac A Cryer | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-09-30 |
| 1982211389 | Georganne Roberts | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1578175253 | Jeffrey Daniel Brakhage | Counselor | 35477 Kenai Spur Hwy Ste 214, Soldotna, AK 99669-7642 | 2020-08-23 |
| 1275052896 | Noah Shields | Counselor | 161 Farnsworth Blvd, Soldotna, AK 99669-7602 | 2017-09-14 |
| 1235737107 | Katherine R Flanders | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-13 |
| 1013515386 | Nicholas Kolanach | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-10-09 |
| 1457968620 | Isaac A Cryer | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-09-30 |
| 1386251726 | Timothy Charles Walker | Counselor | 354 Tyee St, Soldotna, AK 99669-7657 | 2020-09-29 |
| 1982211389 | Georganne Roberts | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-09-29 |
| 1912514357 | Brandy Marie Duck | Counselor | 43335 K Beach Rd Ste 36, Soldotna, AK 99669-8280 | 2020-09-29 |
| 1538775978 | Alexander Cooper Napier II | Counselor | 354 Tyee St, Soldotna, AK 99669-7657 | 2020-09-21 |
| Find all providers in SOLDOTNA | ||||
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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.