PENNY JO RUSSELL (NPI# 1326550393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326550393 |
| Entity Type | Individual |
| Full Name | PENNY JO RUSSELL |
| Credential | LCDCII |
| Practice Address |
116 E Main St Belmont OH 43718-9593 |
| Mailing Address |
255 W Main St Saint Clairsville OH 43950-1040 |
| Practice Telephone | 7404844141 |
| Practice Fax Number | 7404844143 |
| Mailing Telephone | 7404844141 |
| Mailing Fax Number | 7404844143 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
981062 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 W Main St, Saint Clairsville, OH 439501040 | 7404844141 | 7404844143 |
| Street Address |
116 E MAIN ST |
| City | BELMONT |
| State | OH |
| Zip Code | 43718-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639048 | Savanah Clipner | Counselor | 116 E Main St, Belmont, OH 43718-9593 | 2019-09-30 |
| 1932611662 | Cheryl Lynn Gabel | Counselor | 116 E Main St, Belmont, OH 43718-9593 | 2017-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104345883 | Virginia Lucille Samuels | Counselor | 116 East Main Street, Belmont, OH 43718 | 2017-09-14 |
| 1992036149 | John R Jeffries | Pharmacist | 66840 Belmont-morristown Road, Morristown Pharmacy, Belmont, OH 43718 | 2010-01-27 |
| 1386725927 | Village of Belmont | Ambulance | 100 Barrister Street, Belmont, OH 43718 | 2006-10-18 |
| 1396257267 | Gayla L Hendershott | Counselor | 116 E. Main, Belmont, OH 43718 | 2017-10-31 |
| 1346644531 | Katot LLC | Specialist | 41087 B and S Rd, Belmont, OH 43718 | 2014-10-16 |
| 1407900525 | Crossroads Counseling Services, Inc. | Substance Abuse Rehabilitation Facility | 116 Main St., Belmont, OH 43718 | 2007-01-23 |
| 1033760376 | Joshua Booth | Counselor | 41418 Stenger Road, Belmont, OH 43718-4371 | 2019-09-27 |
| 1811454648 | Angela Renee Carr | Nurse Practitioner | 40850 Havenwood Dr, Belmont, OH 43718-9004 | 2019-02-28 |
| 1083853824 | Brandi Bailey | Registered Nurse | 44345 Belmont Warnock Rd, Belmont, OH 43718-9510 | 2009-02-18 |
| 1922409176 | Lindsay Starr | Speech-Language Pathologist | 66699 Belmont Morristown Rd, Belmont, OH 43718-9568 | 2014-09-08 |
| Find all providers in zip 43718 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322364 | Northstar Wellness Associates Pllc | Counselor | 171 Daniel Webster Hwy Unit 11, Belmont, NH 03220-3053 | 2020-09-30 |
| 1033760376 | Joshua Booth | Counselor | 41418 Stenger Road, Belmont, OH 43718-4371 | 2019-09-27 |
| 1063075620 | Cassandre Noelle Durand | Counselor | 184 Fellows Hill Rd, Belmont, NH 03220-4498 | 2019-04-19 |
| 1871062877 | Julie Ruano | Counselor | 1101 Village Dr Apt 2, Belmont, CA 94002-3445 | 2018-11-19 |
| 1104345883 | Virginia Lucille Samuels | Counselor | 116 East Main Street, Belmont, OH 43718 | 2017-09-14 |
| 1568918985 | Xavier Laporte-sanchez | Counselor | 125 Oak Trl, Belmont, NC 28012-2705 | 2016-08-26 |
| 1538556923 | Lewis Chase II | Counselor | 6215 Maksimowski Ave Ne, Belmont, MI 49306-9700 | 2015-04-23 |
| 1295082543 | Rogelio Salinas Jr. | Counselor | 2151 Carlmont Dr, #206, Belmont, CA 94002-3453 | 2012-08-06 |
| 1588932248 | Desirae Perouz Miller | Counselor | 310 Harbor Blvd Bldg E, Belmont, CA 94002-4018 | 2011-12-09 |
| 1710263918 | Nicole Lynne Siegel | Counselor | 27 Hermon St, Belmont, MA 02478-2624 | 2011-11-01 |
| Find all providers in BELMONT | ||||
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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.