Active NPI
Barbara J Dubois Russell, ED.D, LMHC, NCC
- Mental Health Counselor
- Saint Cloud, FL
National Provider Identifier
1215149588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8825
- Practice address
- 2925 Canoe Creek Rd
Saint Cloud, FL 34772-6504 - Phone
- (407) 552-7339
- Fax
- (407) 891-2175
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8825 | FL | Primary |
Addresses
Primary practice location
2925 Canoe Creek Rd
Saint Cloud, FL 34772-6504
Mailing address
4485 Brady Rd
Saint Cloud, FL 34772
Phone (407) 552-7339
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 |
|---|---|---|---|
| MH8825 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1215149588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 BRADY RD",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "34772",
"telephone_number": "407-552-7339",
"fax_number": "407-891-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 CANOE CREEK RD",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347726504",
"telephone_number": "407-552-7339",
"fax_number": "407-891-2175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS RUSSELL",
"first_name": "BARBARA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "ED.D, LMHC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.