Active NPI
Brandy R Russell, MS, LPCC
- Professional Counselor
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0701142
- Practice address
- 10552 Success LN Ste G
Dayton, OH 45458-3653 - Phone
- (937) 204-3647
- Fax
- (937) 791-6686
- NPI assigned
- Mar 2, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0701142 | OH | Primary |
Addresses
Primary practice location
10552 Success LN Ste G
Dayton, OH 45458-3653
Mailing address
2707 Allister Cir
Miamisburg, OH 45342-5859
Phone (937) 204-3647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966
955 Congress Park Dr
Centerville, OH 45459-4009
Phone (937) 741-8708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0701142 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ever Counseling LLC | Mental Health | Current | Accepting new patients |
| J. Kilby Enterprises, Inc. | Mental Health | Current | Accepting new patients |
Locations
10552 Success Ln
Ste G
Dayton, OH 45458
955 Congress Park Dr
Dayton, OH 45459
Phone (937) 741-8708
550 N Main St
Unit A
Springboro, OH 45066
Phone (937) 741-8708
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Dayton, OH
- NPI 1639013774
-
- Mental Health Counselor
- Centerville, OH
- NPI 1316652894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1154644474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 ALLISTER CIR",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453425859",
"telephone_number": "937-204-3647",
"fax_number": "937-791-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10552 SUCCESS LN STE G",
"city": "DAYTON",
"state": "OH",
"postal_code": "454583653",
"telephone_number": "937-204-3647",
"fax_number": "937-791-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "BRANDY",
"middle_name": "R",
"credential": "MS, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0701142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.