Active NPI
Russell Silverberg, DBH, NCC, LPC, LMHC
- Professional Counselor
- Scottsdale, AZ
National Provider Identifier
1043594864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-15969
- Practice address
- 4848 E Cactus Rd # 505-855
Scottsdale, AZ 85254-4163 - Phone
- (855) 270-1100
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH-60312837 | WA | |
| Professional Counselor | 101YP2500X | LPC-15969 | AZ | Primary |
Addresses
Primary practice location
4848 E Cactus Rd # 505-855
Scottsdale, AZ 85254-4163
Mailing address
4848 E Cactus Rd # 505-855
Scottsdale, AZ 85254-4163
Phone (855) 270-1100
Other practice location 1
4730 University Way NE # 104-277
Seattle, WA 98105-4424
Phone (855) 270-1100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dr.Russ@ChatHelps.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4435 E Chandler Blvd
Suite 200
Phoenix, AZ 85048-7651
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH-60312837 | WA | MD | Mental Health Counselor |
| LPC-15969 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Current | Accepting new patients |
Locations
4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1043594864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 E CACTUS RD # 505-855",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852544163",
"telephone_number": "855-270-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4848 E CACTUS RD # 505-855",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852544163",
"telephone_number": "855-270-1100"
}
],
"practiceLocations": [
{
"address_1": "4730 University Way NE # 104-277",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981054424",
"country_code": "US",
"telephone_number": "855-270-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILVERBERG",
"first_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "DBH, NCC, LPC, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH-60312837",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-15969",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dr.Russ@ChatHelps.com",
"affiliation": "N",
"endpointDescription": "Professional Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4848 E Cactus Rd # 505-855",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852544163",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.