Melanie Dizon Russell, CDCA PRELIMINARY

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.190728 Issued in OH

Practice address

246 E Campus View Blvd
Columbus, OH 43235-4634

Phone

(614) 505-3126

NPI assigned

Jan 28, 2025

Last updated

Jan 28, 2025By the provider in NPPES

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

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1477366029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 OAK CREEK DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E CAMPUS VIEW BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354634",
            "telephone_number": "614-505-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MELANIE",
        "middle_name": "DIZON",
        "credential": "CDCA PRELIMINARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.190728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Erin Russell, CPNP
• Madison N. Russell, SLP
• Marcus Eugene Russell, FNP-C
• Mary Elaine Russell, DPT
• McKenna J Russell
• Molly Russell
• Morgan Lea Russell, FNP-C
• Natasha Danielle Russell
• Nathan Lee Russell, MFT-T
• Nathaniel Duane Russell, MD

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.