Active NPI
Dedra Janene Russell, RAS
- Adult Companion
- Mather, CA
National Provider Identifier
1467693432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 10620 Schirra Ave
Mather, CA 95655 - Phone
- (916) 255-7065
- NPI assigned
- Mar 20, 2009
- Last updated
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
10620 Schirra Ave
Mather, CA 95655
Mailing address
PO Box 38369
Sacramento, CA 95838-0369
Phone (916) 929-1951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Northern California & Northern Nevada | Substance Abuse Rehabilitation Facility | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Options for Recovery
- Substance Abuse Rehabilitation Facility
- Oakland, CA
- NPI 1215064100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1467693432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38369",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958380369",
"telephone_number": "916-929-1951",
"fax_number": "916-929-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10620 SCHIRRA AVE",
"city": "MATHER",
"state": "CA",
"postal_code": "95655",
"telephone_number": "916-255-7065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "DEDRA",
"middle_name": "JANENE",
"credential": "RAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2025-08-05",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mather, CA
- Wilhelmine Elisabeth Rowell, LCSW
- Kristine Katherine Rowland
- Shirley Dean Rowland, LAADC, RAS
- Kelly Ruff, AMFT, APCC
- Theresa Marie Ruiz, PT
- Sacramento County Office of Education
- Sacramento County Office of Education
- Sacramento Metropolitan Fire District
- Gloria Bell Salter, MSW, LCSW
- Susan Marie Sanfilippo, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.