MICHAEL RUSSELL (NPI# 1285640128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285640128 |
| Entity Type | Individual |
| Full Name | MICHAEL RUSSELL |
| Credential | M.A., D.MIN. |
| Practice Address |
207 Rock Prairie Rd Suite B College Station TX 77845-8777 |
| Practice Telephone | 9796933393 |
| Practice Fax Number | 9796947337 |
| Mailing Telephone | 9796933393 |
| Mailing Fax Number | 9796947337 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
9957 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 2809LC | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1518279215 | Michael Russell | Psychologist | 4951 Chambers Street - 6th Floor, Ny, NY 10007-1209 | 2010-07-10 |
| 1245414093 | Michael Russell | Non-emergency Medical Transport (VAN) | 4588 N 23rd St, Milwaukee, WI 53209-6201 | 2007-12-27 |
| 1124242821 | Michael Dennis Russell | Chiropractor | 1164 Monroe St, Suite #1, Salinas, CA 93906-3565 | 2007-04-12 |
| 1831282441 | Michael Guy Russell | Social Worker | 8 West Monroe, #907, Chicago, IL 60603 | 2006-10-02 |
| 1962502880 | Michael A Russell | Chiropractor | 18624 Detroit Ave, Lakewood, OH 44107-3202 | 2006-09-22 |
| 1134139157 | Michael A Russell | Dentist | 2240 N Highway 89, Suite A, Harrisville, UT 84404-2651 | 2006-08-09 |
| 1255304887 | Michael Lee Russell Sr. | Clinical Neuropsychologist | Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032 | 2006-02-13 |
| 1174164222 | Michael Cody Russell | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2019-09-30 |
| 1710484472 | Michael David Russell | Student in an Organized Health Care Education/Training Program | University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242 | 2018-04-10 |
| Street Address |
207 ROCK PRAIRIE RD SUITE B |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710531892 | Leslie Casarez | Social Worker | 207 Rock Prairie Rd, College Station, TX 77845-8777 | 2019-07-28 |
| 1558708305 | Karen Mynhier Beathard | Dietitian, Registered | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2013-06-03 |
| 1225390594 | Jamilia Blake | Psychologist | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2012-06-13 |
| 1962761213 | Linda Parker | Counselor | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2012-05-07 |
| 1790922615 | Nancy Marie Conlin | Counselor | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2009-01-14 |
| 1588700652 | Larry G Roe | Psychologist | 207 Rock Prairie Rd, Suite A-2, College Station, TX 77845-8777 | 2007-01-29 |
| 1851440432 | Cynthia Ann Boyd | Counselor | 207 Rock Prairie Rd, Suite A2, College Station, TX 77845-8777 | 2007-01-10 |
| 1023192150 | Laura Baker Brown | Counselor | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381117 | Crystal Louise Bigley | Counselor | 3401 Dallis Dr, College Station, TX 77845-5934 | 2019-11-27 |
| 1821649898 | Stephan Beatty | Counselor | 1605 Rock Prairie Rd Ste 316, College Station, TX 77845-8358 | 2019-09-21 |
| 1225688146 | Shannon D Johnson | Counselor | 505 University Dr E Ste 501, College Station, TX 77840-1797 | 2019-09-12 |
| 1932769478 | Morgan Sanders | Counselor | 3206 Longmire Dr Ste A15, College Station, TX 77845-5858 | 2019-06-17 |
| 1134684921 | Doris J Carter | Counselor | 4307 Roxborough Pl, College Station, TX 77845-4867 | 2019-02-05 |
| 1316429715 | Deanna Johnston | Counselor | 2809 Earl Rudder Fwy S Ste 207, College Station, TX 77845-7383 | 2018-08-31 |
| 1649779174 | Danielle Pompili | Counselor | 1550 Crescent Pointe Pkwy Apt 9203, College Station, TX 77845-7401 | 2018-02-10 |
| 1437667482 | Jamie Marie Manning | Counselor | 18472 Lone Star Ln, College Station, TX 77845-3875 | 2018-01-11 |
| 1467968263 | Michelle Robichaux | Counselor | #236, 3515 Longmire Drive Ste B, College Station, TX 77845-9706 | 2017-12-17 |
| 1922458496 | Wells Counseling Services, Pllc | Counselor | 547 William D Fitch Pkwy Ste 103, College Station, TX 77845-6161 | 2016-06-15 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on MICHAEL 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.