MS. AKISHA RUSSELL


Address: 9131 S Normal Ave, Chicago, IL 60620-2316
Phone: 7736516168

MS. AKISHA RUSSELL (NPI# 1932479524) 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) 1932479524
Entity Type Individual
Full Name MS. AKISHA RUSSELL
Practice Address 9131 S Normal Ave
Chicago
IL 60620-2316
Practice Telephone 7736516168
Enumeration Date 2012-01-12
Last Update Date 2012-01-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 178007097 IL Behavioral Health & Social Service Providers

Office Location

Street Address 9131 S NORMAL AVE
City CHICAGO
State IL
Zip Code 60620-2316

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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.

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Competitor

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City CHICAGO
Zip Code 60620

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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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