RUSSELL O GILLETTE (NPI# 1497057558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497057558 |
| Entity Type | Individual |
| Full Name | RUSSELL O GILLETTE |
| Credential | LPC, LADC |
| Practice Address |
1008 S Muskogee Ave Tahlequah OK 74464-4734 |
| Mailing Address |
112 W Main St Purcell OK 73080-4220 |
| Practice Telephone | 9184580113 |
| Practice Fax Number | 9184580075 |
| Mailing Telephone | 4055271785 |
| Mailing Fax Number | 4055271084 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
271 | OK | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2303 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1008 S MUSKOGEE AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184782534 | Multi County Counseling, Inc. | Counselor | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2006-12-05 |
| 1518422112 | Felicia Graff | Counselor | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2019-02-07 |
| 1639488216 | Shawna Sethlyn Honeycutt | Marriage & Family Therapist | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2010-09-30 |
| 1306155981 | Shirley D Reed | Rehabilitation Counselor | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2010-09-30 |
| 1811206394 | Misti D Hanrahan | Social Worker | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2010-09-30 |
| 1669783890 | Linda King-o'seland | Counselor | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2010-06-22 |
| 1558688671 | Multi-county Counseling, Inc. | Community/Behavioral Health | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2010-04-29 |
| 1629293105 | Kathy Stafford | Counselor | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1891040515 | Sandra Jean Hill | Counselor | 314 N Muskogee Ave, Tahlequah, OK 74464-2738 | 2012-07-18 |
| 1437413267 | Donna Jones | Counselor | 7 Mathis Park Dr, Tahlequah, OK 74464-6825 | 2012-06-26 |
| 1033472303 | Sherry Ann Chennault | Counselor | 2021 Mahaney Ave Ste 4, Tahlequah, OK 74464-5795 | 2012-06-20 |
| 1669613675 | Laura L Owen | Counselor | 1140 Mulberry Dr, Tahlequah, OK 74464 | 2009-03-20 |
| 1770740748 | James David Williams | Counselor | 17091 S Muskogee, Building 4, Tahlequah, OK 74464 | 2008-05-19 |
| 1316140635 | Barbara Theresa Page-hicks | Counselor | 309 E South St, Tahlequah, OK 74464-4024 | 2007-06-06 |
| 1295852887 | Mark L Taylor | Counselor | 308 East Downing Street, Tahlequah, OK 74464-4603 | 2007-03-26 |
| 1154949626 | Renee J Wilson | Counselor | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2020-07-10 |
| 1518422112 | Felicia Graff | Counselor | 1008 S Muskogee Ave, Tahlequah, OK 74464-4734 | 2019-02-07 |
| Find all providers in TAHLEQUAH | ||||
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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.