MS. KATHRYN JANE RUSSELL (NPI# 1720188790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720188790 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN JANE RUSSELL |
| Other Name | MS. KATHRYN JANE RUSSELL-GRAFIUS |
| Credential | MFT |
| Practice Address |
5029 Lamart Dr #6 Riverside CA 92507-0605 |
| Mailing Address |
24721 Spring Rd Colton CA 92324-9635 |
| Practice Telephone | 9513699800 |
| Mailing Telephone | 9094230860 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MX1557 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1780205518 | Kathryn Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-05-04 |
| 1104297555 | Kathryn Marie Russell | Dietitian, Registered | 2543 Woodmont Dr E, Canton, MI 48188 | 2015-10-12 |
| 1902149800 | Kathryn Nikole Russell | Nurse Practitioner | 3900 New Covington Pike Ste 112, Memphis, TN 38128-2526 | 2013-03-29 |
| 1184950313 | Kathryn Joy Russell | Dermatology | 2235 Venetian Court Suite 1, Naples, FL 34109 | 2009-10-22 |
| 1255974887 | Kathryn Russell | Specialist/Technologist | 415 Columbia Rd, Colorado Springs, CO 80904-1307 | 2019-10-27 |
| 1881160315 | Kathryn Anne Russell | Specialist/Technologist | 6200 College Ave, Snyder, TX 79549-6189 | 2018-10-23 |
| 1568940377 | Kathryn Russell | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132 | 2018-08-02 |
| 1447551114 | Kathryn Renee-smith Russell | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2010-11-10 |
| 1750518049 | Kathryn White Russell | Surgery | 3401 Civic Center Blvd, Division of Pediatric Surgery, Philadelphia, PA 19104-4319 | 2009-06-15 |
| Street Address |
5029 LAMART DR #6 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-0605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029799 | Buchanan Family Foundation | Marriage & Family Therapist | 1410 3rd St Ste 12, Riverside, CA 92507-3422 | 2020-10-06 |
| 1801401211 | Sachin Kumar Mathur | Marriage & Family Therapist | 10934 Elkwood Cir, Riverside, CA 92503-5286 | 2020-09-11 |
| 1144839770 | Edgar Diaz Garcia | Marriage & Family Therapist | 5995 Palm Ave Apt I, Riverside, CA 92506-1912 | 2020-07-29 |
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1497381743 | Melissa Cherie Sanders | Marriage & Family Therapist | 5225 Canyon Crest Dr Ste 71-107, Riverside, CA 92507-6301 | 2020-03-19 |
| 1992330088 | Angie Garita | Marriage & Family Therapist | 8939 Christopher Pl, Riverside, CA 92503-3303 | 2020-03-09 |
| 1467086082 | Melanie Joy Harriss | Marriage & Family Therapist | 11801 Pierce St # 222, Riverside, CA 92505-4408 | 2020-02-24 |
| 1487296059 | Catherine Parra Haynes | Marriage & Family Therapist | 4344 Latham St, Riverside, CA 92501-0400 | 2019-10-15 |
| 1255973889 | Kimberly Ann Lloyd | Marriage & Family Therapist | 8625 Orchard Park Dr, Riverside, CA 92508-2984 | 2019-10-15 |
| 1255985248 | County of Riverside Mental Health | Marriage & Family Therapist | 3125 Myers St Bldg 2, Riverside, CA 92503-5527 | 2019-07-29 |
| Find all providers in RIVERSIDE | ||||
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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.