Kelli Russell, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2025 Shadytree LN
Encinitas, CA 92024-3121

Phone

(858) 733-1617

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1679290274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N EL CAMINO REAL # 112F",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SHADYTREE LN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243121",
            "telephone_number": "858-733-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KELLI",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ruecker, MD
• Brad William Ruetenik, D.P.M.
• Debra Ellen Ruff, MA, BCBA
• Natasha Michon Ruiz, NP
• Karen Russell, AMFT
• Rvsal , LLC
• Ryan Kay, DMD, Inc.
• Barbara Jean Ryan, M.D.
• Tyler James Ryan, P.A.
• Saad Juma, M.D., Inc.

• Mental Health Counselor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.