MS. KELLY LEONORA RUSSELL


Address: 611 12th Ave S, Seattle, WA 98144-2007
Phone: 2063249360

MS. KELLY LEONORA RUSSELL (NPI# 1942770409) 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) 1942770409
Entity Type Individual
Full Name MS. KELLY LEONORA RUSSELL
Credential LMFT, CDPT
Practice Address 611 12th Ave S
Seattle
WA 98144-2007
Practice Telephone 2063249360
Mailing Telephone 2063249360
Enumeration Date 2018-11-27
Last Update Date 2018-11-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CO60846150 WA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
LF60294042 WA Behavioral Health & Social Service Providers

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1538375233 Kelly Shannon Russell Nurse Practitioner 200 N Easton, Allen, OK 74825-9713 2007-05-16
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Office Location

Street Address 611 12TH AVE S
City SEATTLE
State WA
Zip Code 98144-2007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598743106 Debra Martha Fischer Nurse Practitioner 611 12th Ave S, Seattle, WA 98144-1910 2006-01-04
1336773951 Korlette Karmell Bird Counselor 611 12th Ave S, Seattle, WA 98144-2007 2020-02-24
1902430424 Krista Denise Hanley Counselor 611 12th Ave S, Seattle, WA 98144-2007 2020-02-24
1205300316 David Gehlbach-wilson Counselor 611 12th Ave S, Seattle, WA 98144-2007 2019-01-11
1689143836 Jeffrey Lane Mitchell Counselor 611 12th Ave S, Seattle, WA 98144-2007 2018-11-16
1033688288 Roberta L Fletcher Counselor 611 12th Ave S, Seattle, WA 98144-2007 2018-11-16
1932674074 Sarah Yankton Hill Dentist 611 12th Ave S, Seattle, WA 98144-2007 2018-10-04
1053894519 Colleen Olivia D'amico Pharmacist 611 12th Ave S, Seattle, WA 98144 2018-09-11
1760994370 Melinda Garay Registered Nurse 611 12th Ave S, Seattle, WA 98144-2007 2017-11-05
1184140691 Meekyung Joo Pharmacist 611 12th Ave S, Seattle, WA 98144-1910 2017-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558975235 Miranda Plummer Counselor 2122 S Jackson Street, Seattle, WA 98144 2020-09-01
1891337457 Alyson Paris Counselor 2100 24th Ave S, Suite 260, Seattle, WA 98144 2019-10-15
1912558370 Marco Antonio Medina Sotelo Counselor 113 23rd Avenue South, Seattle, WA 98144 2019-09-26
1952865909 John Thomas Hogan Counselor 1600 S Lane, Seattle, WA 98144 2019-01-23
1134693856 Kimo Martin Peer Specialist 1600 Lane St, Seattle, WA 98144 2019-01-15
1952875791 Rainier Chiropractic Accident and Injury Ps Massage Therapist 2326 Rainier Ave S, Ste B, Seattle, WA 98144 2019-01-15
1174097083 Seann M Combs Counselor 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 2019-01-14
1922571587 Cristina Wirkala Registered Nurse Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 2019-01-07
1215405162 Vickie Barron Counselor 3401 Rainier Ave S, Suite B, Seattle, WA 98144 2018-11-08
1164906509 Julie Seddon Cabell Counselor Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 2018-09-21
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528675147 Tory B Gildred Counselor 4328 Baker Ave Nw, Seattle, WA 98107-4349 2020-09-28
1104437185 The Daniel Clinic, Pllc Counselor 1406 Western Ave Apt 509, Seattle, WA 98101-2062 2020-08-12
1205468899 Connie Heath Counselor 13044 14th Ave S, Seattle, WA 98108 2020-02-11
1255972063 Ryan Wathne Counselor 325 9th Ave # Ms 359760, Seattle, WA 98104-2420 2019-10-02
1912558370 Marco Antonio Medina Sotelo Counselor 113 23rd Avenue South, Seattle, WA 98144 2019-09-26
1730743717 Adrienne Renee Burrington Counselor 1811 Eastlake Ave E, Seattle, WA 98102-4171 2019-04-25
1578034971 Charles Quinn Counselor 2815 Eastlake Ave E Ste 100, Seattle, WA 98102-3086 2018-12-10
1689144628 Sarah Katherine Laing Counselor 1811 Eastlake Ave, Seattle, WA 98101-1403 2018-12-03
1629546932 Lawrence Millard Watson Counselor 325 9th Ave # 359896, Seattle, WA 98104-2420 2018-11-05
1063980381 Dennis Gordon Grove Counselor 701 N 36th St, Ste 300, Seattle, WA 98103 2018-11-05
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Competitor

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City SEATTLE
Zip Code 98144

Improve Information

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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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