Active NPI
Alandra Russ, LPC
- Professional Counselor
- Yardley, PA
National Provider Identifier
1619657715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC015821
- Practice address
- 105 Floral Vale Blvd
Yardley, PA 19067-5522 - Phone
- (856) 412-8777
- NPI assigned
- Jul 24, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC015821 | PA | Primary |
Addresses
Primary practice location
105 Floral Vale Blvd
Yardley, PA 19067-5522
Mailing address
250 N Columbus Blvd Apt 717
Philadelphia, PA 19106-1459
Phone (315) 719-9977
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC015821 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1619657715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N COLUMBUS BLVD APT 717",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191061459",
"telephone_number": "315-719-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FLORAL VALE BLVD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675522",
"telephone_number": "856-412-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "ALANDRA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC015821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.