PANOLA RUSSELL (NPI# 1447889654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447889654 |
| Entity Type | Individual |
| Full Name | PANOLA RUSSELL |
| Practice Address |
5460 Cleveland Ave Columbus OH 43231-4005 |
| Practice Telephone | 6147548555 |
| Mailing Telephone | 6146145688 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| 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) |
173218 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336479542 | Panola E. Russell | Counselor | 855 Burnham Dr Apt F, University Park, IL 60484-3042 | 2010-01-11 |
| Street Address |
5460 CLEVELAND AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43231-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281498 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2008-07-08 |
| 1508475971 | Suzanne Lynn Colemantolbert | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-30 |
| 1407465263 | Richard Lamar Steele | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-28 |
| 1174132062 | Jessica Anne Jennings | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-07-27 |
| 1073134292 | Taiesha Raquel Black | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-04-28 |
| 1376162230 | Terence Hudson | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-04-10 |
| 1134753684 | Shantelle Nichole Seward | Licensed Practical Nurse | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-02-24 |
| 1093347064 | New Season Counseling Center LLC | Substance Abuse Rehabilitation Facility | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-02-07 |
| 1790325561 | Minerva Park Behavioral Health | Substance Abuse Rehabilitation Facility | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2020-01-09 |
| 1255993770 | Sam Aubrey Finch | Counselor | 5460 Cleveland Ave, Columbus, OH 43231 | 2019-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1487147450 | Kelley Penny | Counselor | 5925 Cleveland Ave., Suite B, Columbus, OH 43231 | 2018-06-13 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| 1184113961 | Leslie Clark-felder | Community/Behavioral Health | 2525 Tiller Lane Ste110, Columbus, OH 43231 | 2018-05-07 |
| 1619466893 | Michael Henry II | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-03 |
| 1578051983 | Rhonda Clark | Community/Behavioral Health | 2525 Tiller Lane Lane Ste 110, Columbus, OH 43231 | 2018-05-01 |
| 1053819003 | Best Sunshine Transportation | Non-emergency Medical Transport (VAN) | 3434 Bufford Ct, Columbus, OH 43231 | 2018-01-24 |
| 1598275927 | Katherine Elaine Prater | Counselor | 5925 Cleveland Ave Ste B, Columbus, OH 43231 | 2017-10-12 |
| 1386164259 | Sento None Jah | Licensed Practical Nurse | 3088 Prosperity Lane, Columbus, OH 43231 | 2017-06-22 |
| 1528596749 | Yolanda Lawrence | Licensed Practical Nurse | 2916 Kilbourne Ave, Columbus, OH 43231 | 2017-06-01 |
| Find all providers in zip 43231 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1710593736 | Lisa Rooker | Counselor | 3197 E Dublin Granville Rd, Columbus, OH 43231-4035 | 2020-09-16 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1417575416 | Chris Burton | Counselor | 1017 3rd St, Columbus, IN 47201-6870 | 2020-07-07 |
| 1841811270 | Tera Shevon Wise | Counselor | 1390 Dublin Rd, Columbus, OH 43215-1009 | 2020-04-27 |
| 1699303669 | Killian Counseling LLC | Counselor | 2700 E Main St Ste 106, Columbus, OH 43209-2536 | 2020-03-27 |
| 1366076853 | Lukas Planck | Counselor | 2984 Cortona Rd, Columbus, OH 43204-3601 | 2020-02-24 |
| 1558994681 | Gary Willis | Counselor | 3290 Meridian Rd, Columbus, OH 43232-4079 | 2020-02-18 |
| Find all providers in COLUMBUS | ||||
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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.