Active NPI
Russell Atkins
- Addiction (Substance Use Disorder) Counselor
- Santa Rosa, CA
National Provider Identifier
1689922692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2400 County Center Dr
Suite B
Santa Rosa, CA 95403-3004 - Phone
- (707) 566-0170
- Fax
- (707) 568-5445
- NPI assigned
- Aug 22, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2400 County Center Dr
Suite B
Santa Rosa, CA 95403-3004
Mailing address
2400 County Center Dr
Suite B
Santa Rosa, CA 95403-3004
Phone (707) 566-0170
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345593600000",
"number": "1689922692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 COUNTY CENTER DR",
"address_2": "SUITE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954033004",
"telephone_number": "707-566-0170",
"fax_number": "707-568-5445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 COUNTY CENTER DR",
"address_2": "SUITE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954033004",
"telephone_number": "707-566-0170",
"fax_number": "707-568-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "RUSSELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-22",
"last_updated": "2012-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
- Association of Behavior Consultants
- Association of Behavioral Consultants
- Asterita a. Machado, DDS, Inc.
- Stephen Atallah, O.D.
- Christian Nabil Athanassious, M.D.
- Christina Anne Atkinson, LMFT
- Paul Thompson Atkinson, D.D.S., PH.D
- Atlantic Home Health Care, LLC
- Luisa Suka Atoe
- Attenda Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.