Shayla Russell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2813-226 Issued in WI

Practice address

Outagamie County Health and Human Services
320 S. Walnut St.
Appleton, WI 54911

Phone

(920) 832-5270

Fax

(920) 832-5488

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shayla Schermetzler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1174080063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OUTAGAMIE COUNTY HEALTH AND HUMAN SERVICES",
            "address_2": "320 S. WALNUT ST.",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-832-5270",
            "fax_number": "920-832-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OUTAGAMIE COUNTY HEALTH AND HUMAN SERVICES",
            "address_2": "320 S. WALNUT ST.",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-832-5270",
            "fax_number": "920-832-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2813-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYLA",
            "last_name": "SCHERMETZLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya E Ruplinger, APSW
• Evelyn Yvonne Ruppel, RN
• Kathryn Lee Ruppel, LMT
• Wayne J Rusin, MD
• Kristen N Russell, APNP
• Amanda Rose Ryan, DMD
• John J. Rydlewicz, D.D.S.
• Jennifer Rose Rydzewski
• Aprill E Rykal, DC
• Jeanine Rae Rysewyk, MAC LPC

• Mental Health Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.