Russell Leander

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.006834 Issued in IL

Practice address

1631 W Carmen Ave
Chicago, IL 60640-2701

Phone

(773) 807-7734

NPI assigned

Apr 7, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Russell Leander, LCPC

  • Preferred Provider Organization
  • Chicago, IL
  • NPI 1053731760
  NPD (past) Authorized official

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1386063360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 W CARMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402701",
            "telephone_number": "773-807-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 W CARMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402701",
            "telephone_number": "773-807-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEANDER",
        "first_name": "RUSSELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.006834",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Demetress Leake, M.D.
• Dewayne Leakes
• Efrain Leal
• Jordan Elizabeth Cahill Leamy, BCBA
• Yonatam Moshe Lean
• Lakhena Lafleur Leang, MD
• Madalina Elena Leanga, LCPC
• Leaning Into Living Counseling
• Leanna Fortunato Psychological Services, P.C.
• Brittany Leano, PA-C

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.