Erica Rose Russell, LPC-897

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC897 Issued in CA

Practice address

16579 Los Gatos Almaden Road
Los Gatos, CA 95032

Phone

(408) 384-8404

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1386985661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16579 LOS GATOS ALMADEN ROAD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16579 LOS GATOS ALMADEN ROAD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-384-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ERICA",
        "middle_name": "ROSE",
        "credential": "LPC-897",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF65551",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla P Rozova, PA-C
• Fernando Ruiz
• Jasmine Ruiz
• Richard Ruiz
• Russell J. Andrews MD Professional Corporation
• Dianne Rust, CMT
• Richard Owen Rutter, CMT
• Jacqueline Sarah Ruvalcaba
• Ryan P. Basham MD
• Edwin Emil Ryan, DPT, ATC, RCEP

• Professional Counselor in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.