Russ Sanders, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006428 Issued in GA

Practice address

1902 Macy Dr
Roswell, GA 30076-6339

Phone

(706) 498-0323

NPI assigned

Oct 5, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Russ Sanders Professional name

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1104100437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766339",
            "telephone_number": "706-498-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766339",
            "telephone_number": "706-498-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RUSS",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSS",
            "last_name": "SANDERS",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Morgan Mitchell Sanchez, APC
• Susan Elizabeth Sanchez, MS, MSW
• Angele Bodet Sandercock, RD LD CDCES
• Kristen Thomas Sanders, PHARMD
• Michael D. Sanders, PA-C
• Prinyada Sangmalee, MS
• Eugene Sanik, D.O.
• Paige Santmyer, MA NCC APC
• Amanda Santos, RBT
• Kristen Santos

• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.