Individual provider Active NPI

Russell Patrick Allard, MA

  • Professional Counselor
  • Rehoboth Beach, DE
National Provider Identifier
1134555477
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0011858 Issued in DE
Practice address
19409 Plantation Rd Unit 4
Rehoboth Beach, DE 19971-4493
Phone
(302) 878-1262
NPI assigned
Sep 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CD-0010167 DE
Professional Counselor 101YP2500X PC-0011858 DE Primary

Addresses

Primary practice location

19409 Plantation Rd Unit 4
Rehoboth Beach, DE 19971-4493

Mailing address

1300 N 17TH Ave
Greeley, CO 80631-9584
Phone (970) 347-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240126000256 CO Practitioner - Mental Health Counselor 8820440191 Reassigns benefits to 1 organization
I20250915003169 DE Practitioner - Mental Health Counselor 8820440191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

19409 Plantation Rd
Suite 4
Rehoboth Beach, DE 19971-4493
Phone (302) 224-1400

2860 S Circle Dr
Suite 109
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CD-0010167DEMDAddiction (Substance Use Disorder) Counselor
PC-0011858DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Mid-Atlantic Behavioral Health, LLC Addiction (Substance Use Disorder) CurrentSince Sep 15, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Center for Vein Restoration de LLC PastSince Aug 3, 2025 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

4660 Yosemite St
Ste 201
Denver, CO 80238
Phone (303) 872-1740

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

19409 Plantation Rd
Unit 4
Rehoboth Beach, DE 19971
Phone (207) 874-1030

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1134555477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319584",
            "telephone_number": "970-347-2120",
            "fax_number": "970-300-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19409 PLANTATION RD UNIT 4",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714493",
            "telephone_number": "302-878-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLARD",
        "first_name": "RUSSELL",
        "middle_name": "PATRICK",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "CD-0010167",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.