Adrian Anita Russell, LASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13352 Issued in AZ

Practice address

2400 N Central Ave Ste 101
Phoenix, AZ 85004-1300

Phone

(602) 264-9891

Fax

(602) 234-2639

NPI assigned

Jun 22, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Cornerstone Healing Center, LLC

  dba Cornerstone Healing Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
  • NPI 1154823680

  Addiction (Substance Use Disorder)

  NPD (past)
• Cornerstone Healing Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1649958760
  NPD (past)
• Cornerstone Healing Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
  • NPI 1710556808
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1376063149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 NORTH 17TH AVE APT B2",
            "address_2": "6615 NORTH 17TH AVE APT B2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "480-751-0488",
            "fax_number": "602-234-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N CENTRAL AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041300",
            "telephone_number": "602-264-9891",
            "fax_number": "602-234-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ADRIAN",
        "middle_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "LASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "13352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Russ, CCP
• Craig William Russel, MD
• Russell Hays
• Teika Russell Miller
• Russell T Taylor PLLC
• Ann C Russell, MA, CCC-SLP
• Ashlyn Russell, RBT
• Bernadine L Russell, RN
• Blake James Russell
• Colette Russell, FNP-C

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.