Russell Duane Pippin, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC40133 Issued in CA

Practice address

55 Shaw Ave Ste 115
Clovis, CA 93612-3819

Phone

(559) 825-1324

NPI assigned

Apr 18, 2007

Sex

Male

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

State licenses

Practice roles

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.

• Footsteps Behavioral Health Corporation

  • Community/Behavioral Health Agency
  • Clovis, CA
  • NPI 1487038758
  NPD (past)
• Footsteps, a Licensed Clinical Social Worker Corporation

  • Mental Health Counselor
  • Clovis, CA
  • NPI 1144720665
  NPD (past)
• North Star Counseling a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Clovis, CA
  • NPI 1730105479
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1710103387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 TWAIN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936122643",
            "telephone_number": "559-269-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SHAW AVE STE 115",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123819",
            "telephone_number": "559-825-1324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Woodworth Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936121847",
            "country_code": "US",
            "telephone_number": "559-297-6060",
            "fax_number": "559-297-6061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5150 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107510",
            "country_code": "US",
            "telephone_number": "559-269-6630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5150 N 6th St Ste 149",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107505",
            "country_code": "US",
            "telephone_number": "559-825-1324",
            "fax_number": "559-408-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "RUSSELL",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Vee Pielop, CNM
• Billy Jack Pierce, D.C.
• Micah Pinasco
• Pineridge Obstetrix & Gynecology Inc
• Amy Michelle Piper, RN
• Sarah Pitts
• William Charles Pitts, MD
• Yahaira Lizette Plancarte Barragan
• Playground of Life Psychotherapy, Inc
• Playground of Life Therapeutic Services, LLC

• Marriage & Family Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.