Individual provider Active NPI

Russell A. Makant, LCMHCA

  • Mental Health Counselor
  • Hickory, NC
National Provider Identifier
1124883061
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19739 Issued in NC
Practice address
255 18TH St SE
Hickory, NC 28602-1364
Phone
(828) 327-6633
Fax
(828) 327-3385
NPI assigned
Feb 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19739 NC Primary

Addresses

Primary practice location

255 18TH St SE
Hickory, NC 28602-1364

Mailing address

3468 4TH Street Blvd NW
Hickory, NC 28601-1071
Phone (828) 502-9844

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

LicenseStateTypeSpecialty
A19739NCMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: makant.russell.061.0330166@crco.meditab.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1124883061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 4TH STREET BLVD NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011071",
            "telephone_number": "828-502-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 18TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021364",
            "telephone_number": "828-327-6633",
            "fax_number": "828-327-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKANT",
        "first_name": "RUSSELL",
        "middle_name": "A.",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.