Individual provider Active NPI

Russell Dean Griffin, MS, LPC, LCDC, CRC

  • Counselor
  • Denton, TX
National Provider Identifier
1669813838
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
67927 Issued in TX
Practice address
1204 Bent Oaks CT
200
Denton, TX 76210-8000
Phone
(940) 387-3450
NPI assigned
Jul 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 67927 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12169 TX

Addresses

Primary practice location

1204 Bent Oaks CT
200
Denton, TX 76210-8000

Mailing address

1204 Bent Oaks CT
200
Denton, TX 76210-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12169TXMDMental Health Counselor
67927TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1669813838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BENT OAKS CT",
            "address_2": "200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 BENT OAKS CT",
            "address_2": "200",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108000",
            "telephone_number": "940-387-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "RUSSELL",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, LCDC, CRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "67927",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.