Norman Clay Russell, LAC CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1626 Issued in LA

Practice address

7060 Prairie Rd # 593
Winnsboro, LA 71295-2951

Phone

(318) 805-4775

Fax

(318) 435-7063

NPI assigned

Feb 13, 2023

Last updated

Feb 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: norman.russell.p1@direct.rfcatahoulaparish1.nextgenshare.com

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.

• Fresh Start Outreach Ministries Inc.

  dba Fresh Start Clinic

  • Addiction (Substance Use Disorder) Counselor
  • Winnsboro, LA
  • NPI 1649015926
  NPD Authorized official
• Fresh Start Outreach Ministries Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winnsboro, LA
  • NPI 1871299370
  NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1235836933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 PRAIRIE RD # 593",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952951",
            "telephone_number": "318-805-4775",
            "fax_number": "318-435-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 PRAIRIE RD # 593",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952951",
            "telephone_number": "318-805-4775",
            "fax_number": "318-435-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "NORMAN",
        "middle_name": "CLAY",
        "credential": "LAC CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "1626",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1626",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "LA",
            "license": "1626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jed Robinson, D.O.
• Kasey Robinson, FNP
• Jeremy Todd Rollins, FNP
• Kristi Michele Rollins, CCC-SLP
• Lashanda Danette Rubin
• Rx4Fun Investments, LLC (K & S Drugs)
• Sahara Emergency Physicians, LLC
• Noman Saif, M.D.
• Jennifer Peterson Salter, LOTR
• Brooke Futch Sanderlin

• Addiction (Substance Use Disorder) Counselor in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.