Holly Russell, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

00454 Issued in NC

Practice address

111 Salem Towne CT
Apex, NC 27502-2311

Phone

(804) 814-7970

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Therapy Collab PLLC

  • Marriage & Family Therapist
  • Apex, NC
  • NPI 1992529234
  NPD Authorized official

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1043939820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 NAPOLI DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029662",
            "telephone_number": "804-814-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SALEM TOWNE CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275022311",
            "telephone_number": "804-814-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HOLLY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "00454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameka M Roundtree
• Anneka Yvette Rountree
• Theresa Shea Rouse, LCSW-A
• Paramita Roy, DDS
• Melissa Rudock, PT
• Samantha Ryan, OTR
• Heesook Ryu
• Sabine Schtakleff, D.D.S., P.a.
• Carlie Salahuddin, MS, OTR/L
• Pamela Salazar

• Marriage & Family Therapist in Apex, NC
• Providers in Apex, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.