Bryon Russell, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00799300 Issued in NJ

Practice address

260 Chapman Rd Ste 104a
Newark, DE 19702-5410

Phone

(302) 468-7238

NPI assigned

Jun 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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 and National Provider Directory roles.

• Journey Wellness & Consulting Group, LLC.

  • Clinical Social Worker
  • Newark, DE
  • NPI 1821540220
  NPD

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1538902259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NORWALK WAY",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098371",
            "telephone_number": "302-547-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD STE 104A",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025410",
            "telephone_number": "302-468-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRYON",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00799300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00799300",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00799300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Runyon
• Alexandrea Caroline Russell, CNM, WHNP-BC
• Andrea Russell, CRNA
• Benjamin Russell, MD
• Brian Scott Russell, RPH
• Carolyn Ann Russell, LCSW
• Jeffrey B Russell, M.D., F.A.C.O.G
• Vincent Robert Russell, PA-C
• Karen Russo, PH D
• Patricia Alexandra Russo

• Counselor in Newark, DE
• Providers in Newark, DE by specialty
• Counselor in Delaware

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