Active NPI
Elissa S Russell
- Counselor
- Yakima, WA
National Provider Identifier
1265738470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60211057
- Practice address
- 618 Pickens Rd
Yakima, WA 98908-1841 - Phone
- (509) 945-6076
- NPI assigned
- Feb 4, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60211057 | WA | Primary |
Addresses
Primary practice location
618 Pickens Rd
Yakima, WA 98908-1841
Mailing address
618 Pickens Rd
Yakima, WA 98908-1841
Phone (509) 945-6076
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 |
|---|---|---|---|
| CG60211057 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1265738470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 PICKENS RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989081841",
"telephone_number": "509-945-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 PICKENS RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989081841",
"telephone_number": "509-945-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "ELISSA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-04",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60211057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.