JENEVIEVE SUSAN-GLEMMING RUSSELL (NPI# 1336447630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336447630 |
| Entity Type | Individual |
| Full Name | JENEVIEVE SUSAN-GLEMMING RUSSELL |
| Other Name | JENEVIEVE SUSAN GLEMMING |
| Credential | MA, LPC, CD |
| Practice Address |
2800 Folsom St Boulder CO 80304-3738 |
| Practice Telephone | 7202392347 |
| Mailing Telephone | 7202392347 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2014-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
5384 | CO | Behavioral Health & Social Service Providers |
| N | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
2800 FOLSOM ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417908104 | Claude H. Burrow, M.d. | Clinic/Center | 2800 Folsom St, Suite B, Boulder, CO 80304-3738 | 2006-05-15 |
| 1124537568 | Caitlin Christine Campbell | Registered Nurse | 2800 Folsom St, Boulder, CO 80304-3738 | 2017-09-28 |
| 1033560792 | Deborahlise Mota | Acupuncturist | 2800 Folsom St, Suite C, Boulder, CO 80304-3738 | 2016-06-23 |
| 1821459389 | Abrie Koupal | Advanced Practice Midwife | 2800 Folsom St, Boulder, CO 80304-3738 | 2016-03-11 |
| 1104297589 | East West Women's Health Center, LLC | Acupuncturist | 2800 Folsom St, Suite C @ The Birth Center of Boulder, Boulder, CO 80304-3738 | 2015-10-12 |
| 1952788093 | Lifetime Wellness of Boulder LLC | Chiropractor | 2800 Folsom St, Suite D, Boulder, CO 80304-3738 | 2015-04-27 |
| 1003211251 | Renee Lynn Clark | Advanced Practice Midwife | 2800 Folsom St, Boulder, CO 80304-2183 | 2014-10-30 |
| 1992122402 | The Birth Center of Boulder | Advanced Practice Midwife | 2800 Folsom St, Boulder, CO 80304-3738 | 2014-03-21 |
| 1225330186 | Tuesday L Wasserman | Acupuncturist | 2800 Folsom St, Boulder, CO 80304-3738 | 2010-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205466 | Sara Horn | Counselor | 4650 White Rock Cir Apt 12, Boulder, CO 80301-5373 | 2020-08-16 |
| 1669095618 | Allison Margaret Leddy Villarreal | Counselor | 737 29th St Ste 200f, Boulder, CO 80303-2474 | 2020-05-26 |
| 1265053961 | Positive Regard Psychotherapy Pllc | Counselor | 3102 Gamow Ln, Boulder, CO 80301-5465 | 2020-05-04 |
| 1154953776 | Willow Mae Arlenea | Counselor | 4500 19th St Lot 379, Boulder, CO 80304-0663 | 2020-02-11 |
| 1336779925 | Lisa Wallace | Counselor | 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 | 2020-01-22 |
| 1952952764 | Lauren Bleu Northrup | Counselor | 170 Seminole Dr, Boulder, CO 80303-4227 | 2019-09-23 |
| 1750947289 | Shelly Froehlich | Counselor | 1637 28th St Ste 201, Boulder, CO 80301-1001 | 2019-05-09 |
| 1003470139 | Kim Ann Merrill | Counselor | 6658 Gunpark Dr Ste 201, Boulder, CO 80301-3375 | 2019-04-24 |
| 1477019222 | Elizabeth Ann Maher | Counselor | 4949 Broadway St Ste 201, Boulder, CO 80304-0578 | 2019-02-18 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| Find all providers in BOULDER | ||||
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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.