Active NPI
Deonia Russell, MSW
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1609246396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2127 Grand Brook Cir
Apt 1423a
Orlando, FL 32810-6922 - Phone
- (850) 381-6890
- NPI assigned
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2127 Grand Brook Cir
Apt 1423a
Orlando, FL 32810-6922
Mailing address
13838 Osprey Nest LN
Apt 274
Orlando, FL 32837-6169
Phone (850) 381-6890
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1609246396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13838 OSPREY NEST LN",
"address_2": "APT 274",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376169",
"telephone_number": "850-381-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 GRAND BROOK CIR",
"address_2": "APT 1423A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328106922",
"telephone_number": "850-381-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "DEONIA",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.