Shandricka Russell, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7536 Issued in LA

Practice address

8261 Summa Ave Ste H
Baton Rouge, LA 70809-3452

Phone

(225) 333-8008

Fax

(225) 416-6048

NPI assigned

Sep 15, 2020

Last updated

May 7, 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 1

Addresses

Other names 1

• Mrs. Shandricka Russell 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.

• Sunflower Counseling, LLC

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1518574375
  NPD Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1457966590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 COURSEY BLVD STE A-12",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171368",
            "telephone_number": "225-333-8008",
            "fax_number": "225-416-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 SUMMA AVE STE H",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093452",
            "telephone_number": "225-333-8008",
            "fax_number": "225-416-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHANDRICKA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDRICKA",
            "last_name": "RUSSELL",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danielle Rebecca Russell
• Emonya Russell
• Kathleen McCraney Brown Russell
• Mike August Russell, DDS
• Randall Shane Russell
• William E Russell, M.D.
• Aimee Russo-Mounger, DDS
• Aldo J Russo, M.D.
• Alexis Russo, D.D.S.
• Marisa Russo, RBT

• Mental Health Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Mental Health Counselor in Louisiana

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