Jessica Russo Misiak, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.2406034 Issued in OH

Practice address

4030 Easton Sta Ste 225
Columbus, OH 43219-7011

Phone

(614) 245-5544

NPI assigned

Aug 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Russo Professional name

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": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1467284455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E WALNUT ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812354",
            "telephone_number": "614-397-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 EASTON STA STE 225",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197011",
            "telephone_number": "614-245-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIAK",
        "first_name": "JESSICA",
        "middle_name": "RUSSO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2406034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RUSSO",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Khagendra P Mishra
• Manisha Manaswini Mishra, MBBS
• Nar Maya Mishra
• Purna D Mishra
• Samir Mishra
• Lauren M Misik
• Mary Jane Misischia, D.O.
• Elizabeth Anne Misiti, LSW
• Christopher Miskell, RPH
• Yancie Marie Elizabeth Misner

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.