MARY ANN RUSSO (NPI# 1760533582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760533582 |
| Entity Type | Individual |
| Full Name | MARY ANN RUSSO |
| Credential | LCPC |
| Practice Address |
5303 Concord Ct Mount Airy MD 21771-5814 |
| Practice Telephone | 3018299366 |
| Practice Fax Number | 3018299366 |
| Mailing Telephone | 3018299366 |
| Mailing Fax Number | 3018299366 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC2316 | MD | Behavioral Health & Social Service Providers |
| Street Address |
5303 CONCORD CT |
| City | MOUNT AIRY |
| State | MD |
| Zip Code | 21771-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
| 1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
| 1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
| 1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
| 1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
| 1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
| 1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
| 1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
| 1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
| Find all providers in zip 21771 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1023658028 | Lauren Robbins | Counselor | 18 Park Ave, Mount Airy, MD 21771-5438 | 2020-01-08 |
| 1033635305 | Diane Harper | Counselor | 154 N Renfro St Ste 100, Mount Airy, NC 27030-3879 | 2017-08-18 |
| 1295172831 | Whitney Blackwell Smith | Counselor | 3615 Rockford St, Mount Airy, NC 27030-7847 | 2013-05-22 |
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1679889083 | Amanda Draughn | Counselor | 319 S Main St Ste 304, Mount Airy, NC 27030-4715 | 2010-08-23 |
| 1669799805 | Michael Wayne Wall | Counselor | 784 W Lebanon St, Mount Airy, NC 27030-2218 | 2010-04-28 |
| 1619988235 | Graciela Liliana Bilis | Counselor | 3661 Camelback Dr, Mount Airy, MD 21771-8074 | 2006-08-10 |
| 1992733067 | Joanna Refvem | Counselor | 201 Main Street, 3rd Floor, Mount Airy, NC 27030 | 2006-06-29 |
| 1265468771 | Ronald Baczurik | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2006-06-25 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 21771 |
Please comment or provide details below to improve the information on MARY ANN RUSSO.
| 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.