MR. NICHOLAS AARON RUSSELL (NPI# 1588984603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588984603 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS AARON RUSSELL |
| Credential | LPCC |
| Practice Address |
1900 E. 10th St Alamogordo NM 88310 |
| Mailing Address |
1900 E. 10th St Alamogordo NM 88310-5053 |
| Practice Telephone | 5754377404 |
| Mailing Telephone | 5754377404 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | E0700288S | OH | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
E0700288S | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0206781 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14499905 | 01 | |
| NM | COUNSELING AND THERAPY PRACTICE BOARD OF NEW MEXICO | CCMH0206781 | 01 |
| OH | STATE OF OHIO COUNSELOR SOCIAL WORK MARRIAGE AND FAMILY THERAPIS | E0700288S | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 Scioto St Ste 200, Urbana, OH 430782291 | 9376524555 | |
| 1951 S Gettysburg Ave, Dayton, OH 454174160 | 9372256146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1548817273 | Nicholas Andrew Russell | Physical Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-08-19 |
| 1114580487 | Nicholas Hyatt Russell | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2019-04-22 |
| 1013487271 | Nicholas Russell | Physical Therapist | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-11-30 |
| 1033513296 | Nicholas Russell | Dentist | 420 Beecher Rd, Columbus, OH 43230 | 2014-10-17 |
| Street Address |
1900 E. 10TH ST |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922331099 | Tory Rene Hill | Case Manager/Care Coordinator | 1900 E. 10th St, Alamogordo, NM 88310 | 2009-09-08 |
| 1447739362 | Adriana Fierro | Counselor | 1900 E. 10th St, Alamogordo, NM 88310-5053 | 2018-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784798 | Huffman Counseling Services LLC | Counselor | 720 S White Sands Blvd Ste A, Alamogordo, NM 88310-7201 | 2018-09-18 |
| 1538269238 | Dawn A Garrett | Counselor | 407 Sunset Ave, Alamogordo, NM 88310-4146 | 2006-09-22 |
| 1366459778 | Sandra G. Jackson | Counselor | 1900 E. Tenth Street, Alamogordo, NM 88310 | 2006-08-01 |
| 1669487104 | Armando Rhoades | Counselor | 1900 E. 10th St., Alamogordo, NM 88310 | 2006-07-31 |
| 1629083084 | Sandra Wilder | Counselor | 1900 E. 10th Street, Alamogordo, NM 88310 | 2006-07-31 |
| 1588682868 | Donna Ray` Mohr | Counselor | 916 N White Sands Blvd, Alamogordo, NM 88310-6926 | 2006-07-17 |
| 1952955858 | Kate Brown | Counselor | 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 | 2019-07-29 |
| 1497318349 | Grace Counseling Services, LLC | Counselor | 720 S White Sands Blvd Ste A, Alamogordo, NM 88310-7201 | 2019-04-16 |
| 1609349307 | Alexandra Wofford, LLC | Counselor | 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 | 2019-01-04 |
| 1982183695 | Alexandra Wofford | Counselor | 1909 Cuba Ave Ste 5, Alamogordo, NM 88310-5646 | 2018-08-13 |
| Find all providers in ALAMOGORDO | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
Please comment or provide details below to improve the information on MR. NICHOLAS AARON 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.