ANDREA RUSSELL (NPI# 1730699182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730699182 |
| Entity Type | Individual |
| Full Name | ANDREA RUSSELL |
| Credential | LCPC |
| Practice Address |
20280 Governors Hwy Ste 207 Olympia Fields IL 60461-1028 |
| Mailing Address |
825 E 41st St Apt 1b Chicago IL 60653-2481 |
| Practice Telephone | 7087946461 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180010847 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205267762 | Andrea Russell | Speech-Language Pathologist | 921 Glendora Rd S, Kissimmee, FL 34759-3653 | 2013-12-10 |
| 1487734067 | Andrea W. Russell | Dentist | 8014 Cumming Hwy, Suite 401, Canton, GA 30115-9339 | 2006-10-17 |
| 1992803795 | Andrea Synnestvedt Russell | Social Worker | 800 Cottageview Dr Ste 1076, Traverse City, MI 49684-2614 | 2006-09-20 |
| 1225544380 | Andrea Mary Russell | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2017-12-27 |
| 1396297768 | Andrea Russell | Social Worker | 1001 N J St, Tacoma, WA 98403-2125 | 2016-11-01 |
| 1225454846 | Andrea Russell | Behavioral Analyst | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2014-03-06 |
| 1770822843 | Andrea Renee Russell | Social Worker | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2013-02-08 |
| 1124306576 | Andrea Russell | Social Worker | 1436 S Shelby St, Louisville, KY 40217-1195 | 2011-08-02 |
| 1447568365 | Andrea Russell | Pharmacist | 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 | 2010-09-14 |
| 1295048536 | Andrea Nicole Russell | Optometrist | 428 Windmere Dr, Suite 100, State College, PA 16801-7644 | 2010-07-15 |
| Street Address |
20280 GOVERNORS HWY STE 207 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725619 | Latesha Lillie Newson | Social Worker | 20280 Governors Hwy Ste 207, Olympia Fields, IL 60461-1070 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447623194 | Georgia Soltau | Counselor | 20200 Governors Dr Ste 201e, Olympia Fields, IL 60461-1056 | 2015-11-03 |
| 1538464987 | Toren Turner | Counselor | 3612 Lincoln Hwy Ste 6, Olympia Fields, IL 60461-1637 | 2011-01-17 |
| 1912004086 | Donna Lee Ulanowski | Counselor | 3612 W Lincoln Highway, Suite 17 Personal Growth Center, Olympia Fields, IL 60461 | 2006-09-20 |
| 1558873877 | Lashiver Pate | Counselor | 2601 Lincoln Hwy, Olympia Fields, IL 60461-1862 | 2017-10-26 |
| 1609230556 | Laurie Reed | Counselor | 2601 Lincoln Hwy, Suite 101, Olympia Fields, IL 60461-1862 | 2016-04-06 |
| 1932564481 | Pure Abundant Wellness Center | Counselor | 20200 Governors Dr, Suite 107, Olympia Fields, IL 60461-1032 | 2015-12-29 |
| 1639534829 | Renaissance Therapy Services | Counselor | 20200 Governors Dr Ste 201e, Olympia Fields, IL 60461-1056 | 2015-12-15 |
| 1760892186 | Shannon Word | Counselor | 2601 Lincoln Hwy, Ste 106, Olympia Fields, IL 60461-1862 | 2014-05-07 |
| 1942627971 | Personal Growth Center, Ltd. | Counselor | 3612 Lincoln Hwy, Suite 6, Olympia Fields, IL 60461-1627 | 2014-03-27 |
| 1548345820 | Bunifaye Canty-gray | Counselor | 3612 Lincoln Hwy, Suite17, Olympia Fields, IL 60461-1627 | 2006-10-26 |
| Find all providers in OLYMPIA FIELDS | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
Please comment or provide details below to improve the information on ANDREA 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.