Active NPI
Darleen Russell
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1093529059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC000802
- Practice address
- PO Box 20053
Philadelphia, PA 19145-0353 - Phone
- (267) 992-1081
- NPI assigned
- Feb 1, 2025
- Last updated
- Feb 24, 2025
- Sex
- Female
- 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 | APC000802 | PA | |
| Professional Counselor | 101YP2500X | APC000802 | PA | Primary |
Addresses
Primary practice location
PO Box 20053
Philadelphia, PA 19145-0353
Mailing address
PO Box 20053
Philadelphia, PA 19145-0353
Phone (267) 992-1081
Other practice location 1
444 N 4th St
Philadelphia, PA 19123-4124
Phone (267) 992-1081
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other | Other |
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 |
|---|---|---|---|
| APC000802 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1093529059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20053",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191450353",
"telephone_number": "267-992-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 20053",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191450353",
"telephone_number": "267-992-1081"
}
],
"practiceLocations": [
{
"address_1": "444 N 4th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191234124",
"country_code": "US",
"telephone_number": "267-992-1081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "DARLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-01",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "APC000802",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "APC000802",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"endpointDescription": "Hush Secure Forms",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Secure Contact Form",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Secure File Transfer Form",
"address_1": "PO Box 20053",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191450353",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.