Maria Ann Russell, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7071 Issued in NC

Practice address

32 Hickory Street
Badin, NC 28009

Phone

(704) 322-1143

Fax

(704) 422-5041

NPI assigned

Jul 17, 2008

Last updated

Jun 11, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Creative Counseling and Learning Solutions, PLLC

  • Professional Counselor
  • Albemarle, NC
  • NPI 1972842599
  NPD (past)
• Creative Counseling and Learning Solutions, PLLC.

  • Community/Behavioral Health Agency
  • Badin, NC
  • NPI 1841615689
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1205090255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280820671",
            "telephone_number": "828-387-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HICKORY STREET",
            "city": "BADIN",
            "state": "NC",
            "postal_code": "28009",
            "telephone_number": "704-322-1143",
            "fax_number": "704-422-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MARIA",
        "middle_name": "ANN",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103947",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lemmond Sr., LPCA, LCASA
• Ryan Michael Macleod, MA, LMFTA
• Jacqueline Renee O'Neal, LPCA
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• Joanne K. Rinker, RD
• Scott's Family Care Home
• Courtney Surrett, LPCA, NCC, MA
• Uwharrie Community Services

• Professional Counselor in Badin, NC
• Providers in Badin, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.