DEREK RUSSELL (NPI# 1699291971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
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 |
Street Address |
2121 EISENHOWER AVE STE 604 |
City | ALEXANDRIA |
State | VA |
Zip Code | 22314-4688 |
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 |
Find all providers in zip 22314 |
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 |
---|---|---|---|---|
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 |
City | ALEXANDRIA |
Zip Code | 22314 |
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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.