Laura Russin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011081-01 Issued in NY

Practice address

228 Washburn Rd
Briarcliff, NY 10510-1811

Phone

(917) 414-7387

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

No

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

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.

• Mountainside - Chappaqua

  • Substance Abuse Rehabilitation Facility
  • Chappaqua, NY
  • NPI 1407343643
  NPD

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1700550555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 WASHBURN RD",
            "city": "BRIARCLIFF",
            "state": "NY",
            "postal_code": "105101811",
            "telephone_number": "917-414-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WASHBURN RD",
            "city": "BRIARCLIFF",
            "state": "NY",
            "postal_code": "105101811",
            "telephone_number": "917-414-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSIN",
        "first_name": "LAURA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011081-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Johnson
• Martha Rossi McDermott, LMSW
• Kimberly Moro
• Sari Neave, LMSW
• Joanne Ottomanelli, PT
• Sarah Elizabeth Shapiro, LCSW
• Donna Rebecca Siegal, LCSW
• Charles L Starke, MD
• Nicholas Tebrake
• Michael Teitelbaum, DMD

• Mental Health Counselor in Briarcliff, NY
• Providers in Briarcliff, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.