Individual provider Active NPI

Brittany Nicole Russell, LPC, NCC, CCMHC

  • Professional Counselor
  • Martinsburg, WV
National Provider Identifier
1134757404
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2503 Issued in WV
Practice address
15 Snail Kite Rd
Martinsburg, WV 25405-7529
Phone
(304) 579-7322
NPI assigned
Mar 31, 2020
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2503 WV Primary

Addresses

Primary practice location

15 Snail Kite Rd
Martinsburg, WV 25405-7529

Mailing address

15 Snail Kite Rd
Martinsburg, WV 25405-7529
Phone (304) 579-7322

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brussell@simmshealth.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2503WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simms Integrative Health Services Inc CurrentSince Apr 1, 2020 Accepting new patients
Brittany Russell, LLC Professional PastSince Sep 29, 2024 Accepting new patients

Locations

312 W King St
Martinsburg, WV 25401
Phone (304) 261-8456

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1134757404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SNAIL KITE RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254057529",
            "telephone_number": "304-579-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SNAIL KITE RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254057529",
            "telephone_number": "304-579-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "LPC, NCC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brussell@simmshealth.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "address_1": "312 W King St",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254013202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.