Brittany Russell, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRITTANY RUSSELL, LLC

Doing business as

Spill The Tea, LLC

Practice address

113 W Liberty St Ste 201
Charles Town, WV 25414-1548

Phone

(304) 579-7322

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittany RussellNPI 1134757404

Title

LPC/Owner

Phone

(304) 579-7322

Specialties & licenses 1

Addresses

Other names 1

• Spill The Tea, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittany Nicole Russell, LPC, NCC, CCMHC

  • Professional Counselor
  • Martinsburg, WV
  • NPI 1134757404
  NPD (past) Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1316764723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W LIBERTY ST STE 201",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141548",
            "telephone_number": "304-579-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W LIBERTY ST STE 201",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141548",
            "telephone_number": "304-579-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTANY RUSSELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "304-579-7322"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spill The Tea, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kayla Marie Boggess, SLP
• Carolynn Boone, REGISTERED NURSE
• Christina Bouchoc
• Raymond Bouchoc
• Judith Pamela Brush
• Denise Jeannette Burns, LPC,NCC
• Brittany Bush
• Amber Byers
• C & C Recovery, LLC (Full Circle Healing Center)

• Professional Counselor in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.