Shannon Russell, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60981062 Issued in WA

Practice address

1314 Bigelow Ave NE
Olympia, WA 98506-4302

Phone

(360) 486-6440

NPI assigned

Nov 12, 2020

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

State licenses

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1053913210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 BIGELOW AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 BIGELOW AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064302",
            "telephone_number": "360-486-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHANNON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60981062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Leigh Russell, MS, LMHC, MHP
• Jessica Russell, LPN
• Jolene R Russell, BA LMP
• Matthew Richard Russell, M.D.
• Robert D Russell, M.D.
• Stephen Dickinson Russell Jr., D.D.S.
• Sunny R Russell
• Monica Irene Rutledge
• Christopher Rutzer
• Ryan D Womack MD DDS PLLC

• Mental Health Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.