Active NPI
Linda Russell
- Counselor
- Delmar, NY
National Provider Identifier
1174834519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R013003-1
- Practice address
- 21 Carriage Rd
Delmar, NY 12054-3703 - Phone
- (518) 439-6552
- NPI assigned
- Jun 30, 2010
- Last updated
- Jun 30, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | R013003-1 | NY | Primary |
Addresses
Primary practice location
21 Carriage Rd
Delmar, NY 12054-3703
Mailing address
21 Carriage Rd
Delmar, NY 12054-3703
Phone (518) 439-6552
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R013003-1 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1174834519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CARRIAGE RD",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543703",
"telephone_number": "518-439-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CARRIAGE RD",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543703",
"telephone_number": "518-439-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "LINDA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "R013003-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.