CHRIS S RUSSELL (NPI# 1568549806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568549806 |
| Entity Type | Individual |
| Full Name | CHRIS S RUSSELL |
| Credential | LPC, LMFT |
| Practice Address |
1701 River Run Suite 1002 Fort Worth TX 76107-6579 |
| Mailing Address |
4708 Driskell Blvd Fort Worth TX 76107-7213 |
| Practice Telephone | 8173770818 |
| Practice Fax Number | 8173361740 |
| Mailing Telephone | 8173770818 |
| Mailing Fax Number | 8173361740 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 10548 | TX | Behavioral Health & Social Service Providers |
| X | 101Y00000X | Counselor | 4166 | TX | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
4166 | TX | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
10548 | TX | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
10548 | TX | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 4166 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 02727601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033259742 | Chris B Russell | Family Medicine | 204 Lowe Ave Se, Suite 6, Bldg 2, Huntsville, AL 35801-4262 | 2007-02-08 |
| Street Address |
1701 RIVER RUN SUITE 1002 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-6579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508852021 | Ira Neil Hollander | Urology | 1701 River Run, Suite 902, Fort Worth, TX 76107-6579 | 2005-09-20 |
| 1982969515 | North Texas Primary Care Associates | Clinic/Center | 1701 River Run, Suite 210, Fort Worth, TX 76107-6579 | 2012-07-10 |
| 1346440195 | Mindy Gayle Burnett | Physical Therapy Assistant | 1701 River Run, Suite 104, Fort Worth, TX 76107-6579 | 2007-07-19 |
| 1336358431 | Michael J. Bridgewater | Counselor | 1701 River Run, Suite 310, Fort Worth, TX 76107-6579 | 2007-05-22 |
| 1538389473 | Thoa Kim Nguyen | Occupational Therapist | 1701 River Run, Suite 104, Fort Worth, TX 76107-6579 | 2007-04-25 |
| 1083833461 | Gina Lynn Pace | Physical Therapist | 1701 River Run, Fort Worth, TX 76107-6579 | 2007-04-24 |
| 1942425186 | Kathryn Mary Denkowski | Psychologist | 1701 River Run, Suite #1105, Fort Worth, TX 76107-6579 | 2007-04-14 |
| 1598988859 | Creative Solutions In Healthcare, Inc. | Skilled Nursing Facility | 1701 River Run, Suite 304, Fort Worth, TX 76107-6579 | 2007-04-11 |
| 1750416954 | Floyd James Jensen IIi | Psychologist | 1701 River Run, Suite 404, Fort Worth, TX 76107-6579 | 2007-02-21 |
| 1326199456 | Rod Hickman | Counselor | 1701 River Run, Suite 911, Fort Worth, TX 76107-6579 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794140 | Cassandra Lamptey | Counselor | 2917 Buckskin Run, Fort Worth, TX 76116-9601 | 2020-09-11 |
| 1144851668 | Estela Rodriguez | Counselor | 5441 Fursman Ave, Fort Worth, TX 76114-4507 | 2020-02-03 |
| 1679119390 | Carlos Mendez | Counselor | 4801 Brentwood Stair Rd, Fort Worth, TX 76103-1729 | 2019-11-19 |
| 1912555012 | Mylie Greenbach | Counselor | 7009 Brierhollow Ct, Fort Worth, TX 76132-7110 | 2019-09-01 |
| 1841782075 | Roy Cecrle | Counselor | 3301 West Fwy Ste 105, Fort Worth, TX 76107-5709 | 2018-06-04 |
| 1245770122 | Madison Elise Webb | Counselor | 6131 Avery Dr Apt 8202, Fort Worth, TX 76132-5325 | 2017-02-27 |
| 1417409780 | Catherine A Presley | Counselor | 8106 Melrose St E, Fort Worth, TX 76108-2414 | 2016-11-02 |
| 1275993982 | Dianna Clayton | Counselor | 5751 Park Vista Cir Ste 101, Fort Worth, TX 76244-5607 | 2016-02-24 |
| 1578943676 | Lori Fangue | Counselor | 4316 Latigo Cir, Fort Worth, TX 76244-8153 | 2015-06-03 |
| 1346634086 | John Mitchell Gray | Counselor | 3216 E 1st St, Fort Worth, TX 76111-3831 | 2015-03-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on CHRIS S 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.