Annika Marie Russaw, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3415 Old Highway 41
Suite 750
Kennesaw, GA 30144-1028

Phone

(678) 574-8313

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christopher Dennis MD PLLCGroup PAC ID 7416254990, 72 clinicians

Vitae Health Medical Georgia LLCGroup PAC ID 4183079577, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229
  Medicare reassignment Care Compare group NPD
• Vitae Health Medical Georgia LLC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1184320574
  Medicare reassignment Care Compare group NPD
• Rhodium Care Group of Ga LLC

  • Psychologist
  • Jackson, GA
  • NPI 1649148859
  Medicare reassignment NPD
• Progressive Care Associates, Inc.

  • Clinical Social Worker
  • Kennesaw, GA
  • NPI 1528400926
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1184056608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 OLD HIGHWAY 41",
            "address_2": "SUITE 750",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 OLD HIGHWAY 41",
            "address_2": "SUITE 750",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441028",
            "telephone_number": "678-574-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSAW",
        "first_name": "ANNIKA",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Rouse
• Amy Irene Rozett, LPC, NCAC II
• Tairesha S Rucker, LMSW
• Mandy Phillips Ruddell
• Carolyn S Rude, D.D.S.
• Rian Wellington Rutherford, M.D.
• Brenda Ruthruff, APRN,BC
• Ashley Marie Rutland, COTA
• Shelby Ryan
• Maria J Rzeznik, RD, LD

• Mental Health Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.

Verify at the official NPI Registry.