Ebbie Russett, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9149805-6004 Issued in UT

Practice address

1785 E 1450 S Ste 300
Clearfield, UT 84015-2299

Phone

(888) 949-4864

NPI assigned

Sep 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ebbie Cabrera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurorev PLLC

  • Physical Therapy Clinic/Center
  • Centerville, UT
  • NPI 1598229155
  NPD
• South Davis Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centerville, UT
  • NPI 1386142396
  NPD

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1679907174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243550",
            "telephone_number": "888-949-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 E 1450 S STE 300",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840152299",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSETT",
        "first_name": "EBBIE",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9149805-6004",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBBIE",
            "last_name": "CABRERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Rodda, LMT
• Cesar Rojas
• Bridget Romney
• Rachelle A Rose, PHD
• Brandy Lynn Routson, LCSW
• Melanie Rust
• Laura Bridget Ruth
• S-H Clearfield Opco LLC
• Ryan Sadeghi
• Joseph T. Salazar, C.P.C.I

• Mental Health Counselor in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.