Active NPI
Jeffrey Scott Russell, LMHC
- Mental Health Counselor
- New Bedford, MA
National Provider Identifier
1154482388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5414
- Practice address
- 333 Union St
New Bedford, MA 02740-3665 - Phone
- (508) 990-0852
- Fax
- (508) 990-4777
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5414 | MA | Primary |
Addresses
Primary practice location
333 Union St
New Bedford, MA 02740-3665
Mailing address
333 Union St
New Bedford, MA 02740-3665
Phone (508) 725-0357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LM1185 | Other | MA | BCBSMA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda M Palmer, Aprn, BC, LLC | Past | Accepting new patients | |
| South County Psychiatry LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- New Bedford, MA
- NPI 1174030340
-
- Psychiatry Physician
- North Kingstown, RI
- NPI 1003454034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1154482388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 UNION ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027403665",
"telephone_number": "508-725-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 UNION ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027403665",
"telephone_number": "508-990-0852",
"fax_number": "508-990-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "LM1185",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.