DEREK RUSSELL


Address: 2121 Eisenhower Ave Ste 604, Alexandria, VA 22314-4688
Phone: 7036840334

DEREK RUSSELL (NPI# 1699291971) 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) 1699291971
Entity Type Individual
Full Name DEREK RUSSELL
Practice Address 2121 Eisenhower Ave Ste 604
Alexandria
VA 22314-4688
Mailing Address 8289 Double Poplars Ln
Warrenton
VA 20187-8313
Practice Telephone 7036840334
Enumeration Date 2017-08-17
Last Update Date 2017-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers DEREK RUSSELL

NPI Name Taxonomy Address Enumeration
1477843415 Derek Wade Russell Internal Medicine 619 19th St S, Birmingham, AL 35249-2060 2011-04-11
1922173822 Derek Duncan Russell Chiropractor 2125 Mccomas Way, Suite 101, Virginia Beach, VA 23456-3986 2006-11-24

Office Location

Street Address 2121 EISENHOWER AVE STE 604
City ALEXANDRIA
State VA
Zip Code 22314-4688

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992359889 Faustina Darko Sarpong Registered Nurse Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 2019-07-29
1184276396 Alyah Ann Gilberry Behavior Technician 2801 Duke St, Alexandria, VA 22314 2019-07-09
1194287961 Myeyedr Optometry of Virginia, Pllc Optometrist 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 2019-04-02
1508321860 Turning Point Counseling Services LLC Social Worker 500 North Washington St, Alexandria, VA 22314 2019-01-31
1841769981 Melanie Lynn Froemke Social Worker Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 2018-11-19
1245718394 Kmt Medical Transport LLC Non-emergency Medical Transport (VAN) 1727 King St Ste 300, Alexandria, VA 22314 2018-07-31
1730678632 Jacquelyn Clarissa Lusk Social Worker 1340 Braddock Place, Alexandria, VA 22314 2018-05-07
1083142160 Kings Medical Transportation Incorported Non-emergency Medical Transport (VAN) 1727 King Strreet, Suite 300, Alexandria, VA 22314 2017-06-01
1114478930 Tanne B Gabler Social Worker 719 S. Fayette St, Alexandria, VA 22314 2016-10-17
1902359409 Emily Chow Dentist 1725 Duke St, Suite Gr03, Alexandria, VA 22314 2016-08-01
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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
1477160471 Sarah Chun Counselor 950 N Washington St # 322, Alexandria, VA 22314-1534 2020-09-24
1205462157 D'angelo Taylor Counselor 100 S Reynolds St Apt 405, Alexandria, VA 22304-3173 2020-03-22
1437711728 Omari Corbett Counselor 8247 Gregory Dr, Alexandria, VA 22309-1830 2019-07-08
1205495819 James C Robinson Counselor 408 Harrisburg Hill Rd, Alexandria, KY 41001-7692 2019-06-07
1083126270 Kristen Marie Wright Counselor 2800 Eisenhower Ave, Ste 220, Alexandria, VA 22314-4587 2017-10-29
1295254670 Billy K Sekyi Counselor 4300 Buckman Road, Apt J, Alexandria, VA 22309-2333 2017-09-16
1992225155 Gillian Gmitter Counselor 8794 Sacramento Dr Ste S, Alexandria, VA 22309-1677 2017-06-20
1407206980 Kirsten Madsen Counselor 6007 Mayfair Ln, Alexandria, VA 22310-1111 2016-06-15
1043667967 Sabrina Brossett Counselor 1500 Lee St, Alexandria, LA 71301-6234 2016-05-20
1770947764 Jiquiah White Counselor 2016 Innis Dr, Alexandria, LA 71303 2016-04-06
Find all providers in ALEXANDRIA

Competitor

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City ALEXANDRIA
Zip Code 22314

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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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