MR. RANDALL SHANE RUSSELL (NPI# 1285171892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285171892 |
| Entity Type | Individual |
| Full Name | MR. RANDALL SHANE RUSSELL |
| Practice Address |
158 Mcgehee Dr Baton Rouge LA 70815-5012 |
| Mailing Address |
239 West Dr Baton Rouge LA 70806-5149 |
| Practice Telephone | 2252725271 |
| Mailing Telephone | 6628164365 |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2017-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013170968 | Randall J Russell | Dentist | 20971 E Smoky Hill Rd, Suite 201, Centennial, CO 80015-5186 | 2008-07-09 |
| Street Address |
158 MCGEHEE DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70815-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063657476 | J.e.hargrove, Plc | Dentist | 158 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2008-12-14 |
| 1700323755 | Nicosia Latrice Jones | Counselor | 158 Mcgehee Dr, Baton Rouge, LA 70815 | 2017-01-30 |
| 1366987687 | Allen's Consultant & Training | Case Management | 158 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2016-12-21 |
| 1578933545 | Latoya Crockett Finley | Counselor | 158 Mcgehee Dr, Baton Rouge, LA 70815 | 2015-10-02 |
| 1811367816 | Walter Watson IIi | Counselor | 158 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2015-10-02 |
| 1861862864 | Tina Fontenot | Counselor | 158 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2015-10-02 |
| 1033589197 | Lucinda Thornton | Counselor | 158 Mcgehee Dr, Baton Rouge, LA 70815 | 2015-10-01 |
| 1346610482 | Seaside Healthcare | Community/Behavioral Health | 158 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2015-10-01 |
| 1891161576 | Christopher Johnson | Counselor | 158 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2015-08-17 |
| 1548636475 | Shauntae Moore | Counselor | 158 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2015-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338343 | Gods Gift Transportation Service | Non-emergency Medical Transport (VAN) | 12333 Flordia Blvd, Suite A, Baton Rouge, LA 70815 | 2020-08-27 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
| 1821592924 | Best Choice Transportation LLC | Non-emergency Medical Transport (VAN) | 2035 Wooddale Ave., Baton Rouge, LA 70815 | 2018-03-22 |
| 1679085609 | Kevia Neshell Green | Case Manager/Care Coordinator | 211 Antrim Dr Apt C, Baton Rouge, LA 70815 | 2017-10-31 |
| 1104349828 | Priscilla Carter | Case Manager/Care Coordinator | 9726 West Coronado Drive, Baton Rouge, LA 70815 | 2017-07-25 |
| 1023545902 | Krystal Ross | Counselor | 9420 Lindale Ave Ste A&b, Baton Rouge, LA 70815 | 2017-05-22 |
| 1679014351 | Daniel Joseph Woods | Counselor | 12459 Goodwood Blvd, Baton Rouge, LA 70815 | 2017-03-15 |
| 1073058319 | April Coleman | Case Manager/Care Coordinator | 11534 E Black Oak Dr, Baton Rouge, LA 70815 | 2016-12-22 |
| 1407213499 | Earnestine Payne | Counselor | 1314 S Mike Dr, Baton Rouge, LA 70815 | 2016-01-21 |
| Find all providers in zip 70815 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160024 | Benjamin Ng | Counselor | 8758 Field Dr, Baton Rouge, LA 70809-2903 | 2020-10-07 |
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1578181814 | Angela Nicole Vaughn | Counselor | 7464 Board Dr, Baton Rouge, LA 70817-5311 | 2020-07-13 |
| 1487270393 | Joanna Sheppard | Counselor | 331 Grandpre St, Baton Rouge, LA 70802-5919 | 2020-06-17 |
| 1417579012 | Cl's Counseling and Consulting Firm, LLC | Counselor | 13969 Windwood Dr, Baton Rouge, LA 70816-1887 | 2020-05-18 |
| 1043830938 | Andrea Frank | Counselor | 2506 Mcgrath Ave Apt 16, Baton Rouge, LA 70806-5434 | 2020-04-21 |
| 1881214666 | Shetamian Wilson | Counselor | 4336 North Blvd Ste 208, Baton Rouge, LA 70806-3920 | 2020-04-21 |
| 1679108740 | Gracefully Purposed Counseling & Consulting, LLC | Counselor | 8542 Siegen Ln Ste 6, Baton Rouge, LA 70810-1940 | 2020-03-09 |
| 1588227623 | Melanie E Salles | Counselor | 2718 Toulon Dr, Baton Rouge, LA 70816-5120 | 2019-04-15 |
| 1275091514 | A T.r.u.t.h. 180 Health Services of Louisiana, LLC | Counselor | 1254 Central Rd, Baton Rouge, LA 70807-3820 | 2019-03-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70815 |
Please comment or provide details below to improve the information on MR. RANDALL SHANE RUSSELL.
| 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.