MISS CRYSTAL M RUSSELL


Address: 1338 W 4th St, Ontario, OH 44906-1828
Phone: 4196889259

MISS CRYSTAL M RUSSELL (NPI# 1538542097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538542097
Entity Type Individual
Full Name MISS CRYSTAL M RUSSELL
Credential LPC, CDCA
Practice Address 1338 W 4th St
Ontario
OH 44906-1828
Mailing Address 2285 Benden Dr
Wooster
OH 44691-2568
Practice Telephone 4196889259
Mailing Telephone 3302649029
Mailing Fax Number 3302637251
Enumeration Date 2015-07-01
Last Update Date 2020-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor C15000630 OH Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDCA162724 OH Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
C1500630 OH Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program OH Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4641 Fulton Dr Nw, Canton, OH 447182384 3304336075 3304331845
2285 Benden Dr, Wooster, OH 446912568 (330) 264-9029 3302637251

Other Providers CRYSTAL RUSSELL

NPI Name Taxonomy Address Enumeration
1215016407 Crystal Miche Russell Counselor 1107 Cloister Place, Columbia, SC 29210 2006-11-06
1093234460 Crystal Elizabeth Russell Counselor 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2017-09-16
1578926051 Crystal D Russell Licensed Practical Nurse 2845 Bell St, Zanesville, OH 43701-1720 2016-04-01
1982078481 Crystal M Russell Social Worker 79 Middleville Rd, Sws122, Northport, NY 11768-2200 2015-11-20
1366649790 Crystal Russell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 2007-06-29
1073630851 Crystal A Russell Counselor 520 Cook St, Suite I, Madisonville, TN 37354-1508 2007-03-25

Office Location

Street Address 1338 W 4TH ST
City ONTARIO
State OH
Zip Code 44906-1828

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154920155 Jonathan Clevenger Pharmacist 1455 North Lexington-springmill Road, Ontario, OH 44906 2020-10-21
1366083297 Jennifer Robin Young Technician 60 Sherman Ave, Mansfield, OH 44906 2019-10-02
1639721905 Lora Harris Nurse Practitioner 1029 S. Trimble Rd, Mansfield, OH 44906 2019-07-16
1871098855 Med Gear Plus, LLC Durable Medical Equipment & Medical Supplies 1041 Park Ave W, Mansfield, OH 44906 2018-03-29
1912401209 Bradley Anderson Dietitian, Registered 1025 South Trimble Rd., Mansfield, OH 44906 2018-03-21
1104325182 Nancy Labaki Speech-Language Pathologist 2011 W. Fourth St., Mansfield, OH 44906 2018-02-06
1720518319 Stephen Anderson Counselor 680 Park Ave W., Mansfield, OH 44906 2017-06-15
1427422518 Jill A Waite Counselor 33 S. Lexington-springmill Road, Mansfield, OH 44906 2015-11-30
1992125397 Taryn Boyd Physical Therapist 1025 S Trimble, Mansfield, OH 44906 2014-04-24
1356760870 Sarah Brandyberry Social Worker 1025 S. Trimble Rd., Mansfield, OH 44906 2014-04-11
Find all providers in zip 44906

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356827240 Erica Marie Greer Counselor 3223 S Edenglen Paseo, Ontario, CA 91761-2677 2018-07-14
1841720141 Priscilla Roman Counselor 2758 S Pleasant Ave, Ontario, CA 91761-6799 2017-06-19
1568736627 David Eric Arman Counselor 2800 E Riverside Dr, Apt. 24, Ontario, CA 91761-7405 2012-03-06
1184905564 Heather A Connors Counselor 2990 E, Ubkand Empire Blvd, Suite 101, Ontario, CA 91764 2011-08-30
1528370988 Paloma Santana Counselor 2930 Inland Empire Blvd Ste 105, Ontario, CA 91764-4802 2010-07-13
1396971081 Loriann Sako Counselor 2930 Inland Empire Blvd # 120, Ontario, CA 91764-4802 2009-06-08
1366621765 Singhi Rajan Counselor 2910 Inland Empire Blvd Ste 110, Ontario, CA 91764-4896 2007-11-01
1104946755 Rita Marie Keegan Counselor 685 N Oregon St, Ontario, OR 97914-1724 2007-03-29
1497898399 Roy Leslie Mcdonald Counselor 1941 S Benson Ave, Ontario, CA 91762-6003 2007-02-14
1932710647 Allyce Christine Gomez Counselor 812 N Euclid Ave, Ontario, CA 91762-2714 2020-08-14
Find all providers in ONTARIO

Competitor

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City ONTARIO
Zip Code 44906

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Dataset Information

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.

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