Tamika D Russell, LPC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

81523 Issued in TX

Practice address

938 Marisa LN
Desoto, TX 75115-3880

Phone

(214) 799-0045

NPI assigned

Nov 3, 2020

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mrs. Tamika D Johnson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Complete Home Healthcare, LLC

  • Home Health Agency
  • Desoto, TX
  • NPI 1922450451

  Community/Behavioral Health

  NPD
• Positive Changes Counseling and Consulting, PLLC

  • Case Management Agency
  • Mesquite, TX
  • NPI 1841959236

  Community/Behavioral Health

  NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1427659853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 MARISA LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153880",
            "telephone_number": "214-799-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 MARISA LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153880",
            "telephone_number": "214-799-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TAMIKA",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81523",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "81523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418990401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4056772",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMIKA",
            "last_name": "JOHNSON",
            "middle_name": "D",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joette Rouse
• Nashay Alexandra Rowe
• Jacques A Roy, M.D.
• Royalty Health Services
• Jocelyn Ruiz
• S.a.N.D. X3 LLC
• Sachin Harishchandrabhan Sachdev, MD
• Vanessa Saenz
• Jorge A Saldivar, M.D.
• Tearra Y Salter, FNP

• Community/Behavioral Health Agency in Desoto, TX
• Providers in Desoto, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.