Active NPI
Alexander Russell
- Peer Specialist
- Columbus, OH
National Provider Identifier
1033939145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.005366
- Practice address
- 246 E Campus View Blvd
Columbus, OH 43235-4634 - Phone
- (380) 265-9561
- NPI assigned
- Oct 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.190684 | OH | |
| Peer Specialist | 175T00000X | APS.005366 | OH | Primary |
Addresses
Primary practice location
246 E Campus View Blvd
Columbus, OH 43235-4634
Mailing address
246 E Campus View Blvd
Columbus, OH 43235-4634
Phone (380) 265-9561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.190684 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| APS.005366 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1033939145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 E CAMPUS VIEW BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354634",
"telephone_number": "380-265-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 E CAMPUS VIEW BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354634",
"telephone_number": "380-265-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-14",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.190684",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.005366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.