Individual provider Active NPI

Tobi Yvette Russell, LPC, LLP

  • Counselor
  • Rochester Hills, MI
National Provider Identifier
1568517175
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401010934 Issued in MI
Practice address
130 Hampton Cir Ste 130
Rochester Hills, MI 48307-4113
Phone
(248) 266-6166
Fax
(248) 841-4714
NPI assigned
Jan 24, 2007
Last updated
Feb 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401010934 MI Primary
Psychologist 103T00000X 6301012174 MI

Addresses

Primary practice location

130 Hampton Cir Ste 130
Rochester Hills, MI 48307-4113

Mailing address

130 Hampton Cir Ste 130
Rochester Hills, MI 48307-4113
Phone (248) 266-6166

Other identifiers 1

IdentifierTypeStateIssuer
1882825MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
6401010934MIMDCounselor
6301012174MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Rochester Area Counseling Services LLC Current Accepting new patients

Locations

130 Hampton Cir
Ste 130
Rochester Hills, MI 48307
Phone (248) 266-6166

945 S Rochester Rd
Ste 101
Rochester Hills, MI 48307
Phone (248) 434-8227

Interoperability endpoints

  • Direct secure messaging: tobirussell@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1568517175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HAMPTON CIR STE 130",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074113",
            "telephone_number": "248-266-6166",
            "fax_number": "248-841-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HAMPTON CIR STE 130",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074113",
            "telephone_number": "248-266-6166",
            "fax_number": "248-841-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TOBI",
        "middle_name": "YVETTE",
        "credential": "LPC, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010934",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1882825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.