Patrick L Russell, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002150-01 Issued in NY

Practice address

332 E 4TH St
Jamestown, NY 14701-5502

Phone

(716) 488-1971

Fax

(716) 483-6878

NPI assigned

Nov 30, 2021

Sex

Male

Sole proprietor

No

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 NY

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Service of the Chautauqua Region, Inc.Group PAC ID 8729032784, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Service of the Chautauqua Region Inc

  • Clinical Social Worker
  • Jamestown, NY
  • NPI 1891820171
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1194483818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E 4TH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015598",
            "telephone_number": "716-488-1971",
            "fax_number": "716-483-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E 4TH ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015502",
            "telephone_number": "716-488-1971",
            "fax_number": "716-483-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "PATRICK",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002150-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura James Roush, RN
• Carrie Rowan, DO
• Amber Lin Roe Royce, LPN
• Sarah Rurycz
• Heather Russell
• Michael R Russo
• Joan Marie Ryan, RPH, BS PHARM
• Rebecca Grace Saeger, LMSW
• Ebne Safi, PHARMACIST
• Sali Honess-Ondrey

• Mental Health Counselor in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.