NPIMap

Organization Active NPI

Julie Russell Family Counseling, LLC

  • Community/Behavioral Health Agency
  • Tigard, OR
National Provider Identifier
1003170507
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
R2646, R2647 Issued in OR
Legal business name
JULIE RUSSELL FAMILY COUNSELING, LLC
Practice address
11740 SW Warner Ave
Tigard, OR 97223-8459
Phone
(503) 312-9163
Fax
(503) 430-7207
NPI assigned
Jun 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Julie Ann Russell, MA, R2546, R2647NPI 1770004749
Title
Clincial Manager
Phone
(503) 312-9163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X R2646, R2647 OR Primary

Addresses

Primary practice location

11740 SW Warner Ave
Tigard, OR 97223-8459

Mailing address

11740 SW Warner Ave
Tigard, OR 97223-8459
Phone (503) 312-9163

National Provider Directory

National Provider Directory
Tax ID family
Compassionate Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1003170507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 SW WARNER AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238459",
            "telephone_number": "503-312-9163",
            "fax_number": "503-430-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SW WARNER AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238459",
            "telephone_number": "503-312-9163",
            "fax_number": "503-430-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE RUSSELL FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINCIAL MANAGER",
        "authorized_official_telephone_number": "503-312-9163",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, R2546, R2647"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "R2646, R2647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.