KELLY C RUSSELL (NPI# 1376829838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376829838 |
| Entity Type | Individual |
| Full Name | KELLY C RUSSELL |
| Credential | MA, LMHC |
| Practice Address |
24 Pleasant St Rear Newburyport MA 01950-2610 |
| Mailing Address |
25 Barton St Newburyport MA 01950-3102 |
| Practice Telephone | 9783871835 |
| Mailing Telephone | 9783871835 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7790 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326468729 | Kelly Russell | Counselor | 3415 Se Powell Blvd Trillium Family Services, Portland, OR 97202 | 2014-04-24 |
| 1336244763 | Kelly Gravino Russell | Social Worker | 16 Bush Hill Rd, Ipswich, MA 01938-1642 | 2006-09-13 |
| 1154957652 | Kelly Russell | Advanced Practice Midwife | 101 Dudley St, Providence, RI 02905-2401 | 2020-03-16 |
| 1942770409 | Kelly Leonora Russell | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-27 |
| 1992179535 | Kelly Marie Spegel Russell | Psychologist | 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2015-11-19 |
| 1346591898 | Kelly Hanh Russell | Physician Assistant | 1375 N 10th Ave, Stayton, OR 97383 | 2012-09-24 |
| 1538375233 | Kelly Shannon Russell | Nurse Practitioner | 200 N Easton, Allen, OK 74825-9713 | 2007-05-16 |
| 1205816923 | Kelly Yvette Russell | Anesthesiology | 1850 N Central Ave, Ste1600, Phoenix, AZ 85004-4527 | 2006-01-19 |
| Street Address |
24 PLEASANT ST REAR |
| City | NEWBURYPORT |
| State | MA |
| Zip Code | 01950-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954212 | Kirsten Ross | Registered Nurse | Anna Jaques Hospital, 25 Highland Ave, Newburyport, MA 01950 | 2020-02-18 |
| 1649752098 | William Edward Taylor | Social Worker | 25 Bromfield Street Side B, Newburyport, MA 01950 | 2018-09-02 |
| 1982113486 | Rachel Harris | Physical Therapy Assistant | 20 Beacon Ave, Unit 6, Newburyport, MA 01950 | 2017-09-27 |
| 1366998163 | Charles A. Nickou, D.m.d LLC | Dentist | 16 Harris Street, Newburyport, MA 01950 | 2016-08-31 |
| 1972954451 | Kathryn Jane Giguere | Nurse Practitioner | 7 Graf Road, Newburyport, MA 01950 | 2016-06-27 |
| 1487023230 | Christine Burgess | Social Worker | 180 Lowe Street, County Center for Health Rehabilitation, Newburyport, MA 01950 | 2015-09-23 |
| 1356746333 | Kelly Crotty | Occupational Therapist | 26 Washington St, Newburyport, MA 01950 | 2014-11-03 |
| 1225444961 | Christine Scotto | Licensed Practical Nurse | 41 Maple Lane, Monroe, NY 01950 | 2014-07-02 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| Find all providers in zip 01950 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291492 | Turning Leaf Counseling, LLC | Counselor | 18 Titcomb St, Newburyport, MA 01950-2508 | 2020-09-27 |
| 1356984645 | Claire T Russell-bloom | Counselor | 20 Fair St, Newburyport, MA 01950-2847 | 2019-10-20 |
| 1215485610 | Christine Nelson | Counselor | 5b Charles St, Newburyport, MA 01950-3011 | 2016-09-14 |
| 1285039198 | Brittannie Mae Metcalf | Counselor | 18 Essex St Apt 4, Newburyport, MA 01950-2795 | 2014-11-04 |
| 1134539372 | Nicole Walsh | Counselor | 322 Merrimac St, Apt. 2, Newburyport, MA 01950-2042 | 2014-04-28 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| 1750654216 | Sharon E. Sweeney, Lcsw, Inc. | Counselor | 13 Green St., Newburyport, MA 01950-2652 | 2012-02-14 |
| 1649556945 | Lori B. Davis | Counselor | 58 Purchase St, Newburyport, MA 01950-3143 | 2011-10-31 |
| 1144520370 | James F. Cropper | Counselor | 3 Frances Dr, Newburyport, MA 01950-3432 | 2010-10-21 |
| 1033346234 | Joanna Harmony Blabac | Counselor | 13 Union St., Newburyport, MA 01950 | 2009-06-15 |
| Find all providers in NEWBURYPORT | ||||
| City | NEWBURYPORT |
| Zip Code | 01950 |
Please comment or provide details below to improve the information on KELLY C 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.