Angela Russell

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LC1591 Issued in MD

Legal business name

ANGELA RUSSELL

Doing business as

In Search Of Peace, Inc.

Practice address

1300 Mercantile LN
Suite 139-J
Largo, MD 20774-5327

Phone

(301) 574-5976

Fax

(301) 574-5986

NPI assigned

Apr 4, 2007

Last updated

Jun 25, 2008By 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

Ms. Angela L Russell, LCPC

Title

President

Phone

(301) 574-5976

Specialties & licenses 1

Addresses

Other names 1

• In Search Of Peace, Inc. Doing business as

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1376665992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16306 BROOKTRAIL CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723272",
            "telephone_number": "301-574-5976",
            "fax_number": "301-574-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "address_2": "SUITE 139-J",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-574-5976",
            "fax_number": "301-574-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA RUSSELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-574-5976",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "LC1591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Search Of Peace, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counseling Psychologist in Largo, MD
• Providers in Largo, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.