NICOLE MICHELLE RUSSELL (NPI# 1528574621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528574621 |
| Entity Type | Individual |
| Full Name | NICOLE MICHELLE RUSSELL |
| Credential | CDCA |
| Practice Address |
209 W Woodland Ave Youngstown OH 44502-1866 |
| Mailing Address |
4553 Deer Creek Ct Apt 5 Youngstown OH 44515-5426 |
| Practice Telephone | 3307879180 |
| Mailing Telephone | 3305400495 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053544890 | Nicole Ann Russell | Nurse Practitioner | 330 Franklin Rd Ste 302, Brentwood, TN 37027-3213 | 2009-08-27 |
| 1922564111 | Nicole Russell | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2019-02-13 |
| 1205389871 | Nicole Russell | Physical Therapist | 247 Broad St, Suite 3, Milford, CT 06460-3273 | 2016-07-29 |
| 1982017968 | Nicole Elizabeth Russell | Family Medicine | 1035 1st Ave W, Kalispell, MT 59901-5607 | 2014-06-06 |
| 1528322427 | Nicole Russell | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2012-06-26 |
| 1770882516 | Nicole Russell | Counselor | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2011-03-18 |
| 1083816789 | Nicole S Russell | Social Worker | 3550 Se Woodward St, Portland, OR 97202-1552 | 2007-06-04 |
| 1194895060 | Nicole L Russell | Physical Therapist | 75 Francis St, Boston, MA 02115-6110 | 2006-11-08 |
| Street Address |
209 W WOODLAND AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44502-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497196513 | Potential Development Program | Local Education Agency (LEA) | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2013-07-17 |
| 1760097851 | Jerry Orizal | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-09-15 |
| 1083222343 | Denise Rochae Myers | Counselor | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-07-22 |
| 1114549730 | Lester Scott II | Counselor | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-05-18 |
| 1457971467 | David George Ortiz | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-04-20 |
| 1336779198 | Brianna Michele Williams | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-01-21 |
| 1508496753 | Dennis Michael Bowers | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-01-16 |
| 1558908970 | Debra Elaine Posey | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-12-04 |
| 1407491343 | Ohio Diagnostic Imaging LLC | Clinic/Center | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-11-14 |
| 1548805195 | Kristen Pigza | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
| 1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
| 1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
| 1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
| 1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
| 1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
| 1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
| 1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
| 1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| Find all providers in zip 44502 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1538771282 | Faith Marie Palmer | Counselor | 2703 Mahoning Ave Ste 105, Youngstown, OH 44509-2337 | 2020-08-22 |
| 1245895119 | Clinton Lynch | Counselor | 506 E Liberty St, Youngstown, OH 44505-1544 | 2019-05-07 |
| 1760047187 | Norman L Carter | Counselor | 108 W Indianola Ave, Youngstown, OH 44507-1459 | 2019-05-02 |
| 1043791825 | Jessica Marie Glandorf | Counselor | 1185 Townsend Ave, Youngstown, OH 44505-1267 | 2018-08-28 |
| 1194204933 | Nicole Marie Campana | Counselor | 2217 Lyon Blvd, Youngstown, OH 44514-1568 | 2018-08-13 |
| 1417442112 | Melanie J King | Counselor | 555 S Hazelwood Ave, Youngstown, OH 44509-2231 | 2018-06-25 |
| 1922590173 | Bonnie Warrington | Counselor | 344 Broadview Ave, Youngstown, OH 44509-1149 | 2018-06-04 |
| 1013418508 | Angel Olivia Pixley | Counselor | 881 Rose St, Youngstown, OH 44506-1431 | 2018-02-21 |
| 1184142432 | Felicia Briggs | Counselor | 2151 Rush Blvd., Youngstown, OH 44507 | 2017-09-07 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44502 |
Please comment or provide details below to improve the information on NICOLE MICHELLE 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.