Russell Leander, LCPC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

180-006834 Issued in IL

Legal business name

RUSSELL LEANDER, LCPC

Practice address

1631 W Carmen Ave
Chicago, IL 60640-2701

Phone

(773) 807-7734

NPI assigned

Apr 21, 2014

Last updated

Apr 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Russell J Leander, LCPCNPI 1386063360

Title

Owner

Phone

(773) 807-7734

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Leander

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1386063360
  NPD (past) Authorized official

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1053731760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402712",
            "telephone_number": "773-807-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 W CARMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402701",
            "telephone_number": "773-807-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL LEANDER, LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "LEANDER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-807-7734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "180-006834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olesya Ruspynska, PHARMD
• Sarah J Russe, DBE, MA
• Andrew P Russeau, MD
• Elizabeth Anne Russeau, APN
• Russell J. Cecala, D.D.S., M.S., LTD Dba Periocare (PerioCare)
• Akisha Russell
• Allison Russell, DC
• Andrea M Russell, PHD
• Angela Russell
• Bonnie Jean Russell, MS, CCC-SLP

• Preferred Provider Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.