New Market Hanai Ohana, LLC.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC5788 Issued in MD

Legal business name

NEW MARKET HANAI OHANA, LLC.

Practice address

30 S Court St
Frederick, MD 21701-5510

Phone

(240) 575-1206

NPI assigned

Feb 10, 2017

Last updated

Feb 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa M Russell, LCPCNPI 1134171945

Title

Owner, Kokua, Counselor

Phone

(702) 336-9232

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Marie Russell, PSYD, LCPC, LCADC

  • Professional Counselor
  • New Market, MD
  • NPI 1134171945
  NPD (past) Authorized official

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1568900504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S COURT ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015510",
            "telephone_number": "240-575-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S COURT ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015510",
            "telephone_number": "240-575-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MARKET HANAI OHANA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, KOKUA, COUNSELOR",
        "authorized_official_telephone_number": "702-336-9232",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC5788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.