Dee A Russell, LCSW, LCAC, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006134A Issued in IN

Practice address

3354 Road 124
Payne, OH 45880-9101

Phone

(260) 223-7545

NPI assigned

Jul 8, 2011

Last updated

Dec 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Dee A Diehl-Keller Professional name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renovate Counseling Services LLCGroup PAC ID 6103246376, 13 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renovate Counseling Services LLC

  • Mental Health Counselor
  • Bluffton, IN
  • NPI 1689135279
  Medicare reassignment Care Compare group NPD
• Onhealthcare, LLC

  dba OnHealthcare Optometry

  • Optometrist
  • Indianapolis, IN
  • NPI 1417220369
  Medicare reassignment NPD
• Onhealthcare LLC

  • Social Worker
  • Indianapolis, IN
  • NPI 1114681681

  Clinical

  NPD
• Onhealthcare LLC

  dba OnHealthcare Podiatry

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1710274931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 ROAD 124",
            "city": "PAYNE",
            "state": "OH",
            "postal_code": "458809101",
            "telephone_number": "260-223-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 ROAD 124",
            "city": "PAYNE",
            "state": "OH",
            "postal_code": "458809101",
            "telephone_number": "260-223-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DEE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCAC, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001352A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006134A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1440160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEE",
            "last_name": "DIEHL-KELLER",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "LCSW, LCAC, LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Krouse Chiropractic, LLC
• Michael D Krouse, DC
• Joseph M. Kuhn, D.O.
• Amanda Labounty
• Laura Michael, PTA
• James Edward Scarberry
• Manda Schmidt
• Kendra Sentelik
• Vancrest of Payne, LLC
• Vancrest of Payne, LLC

• Clinical Social Worker in Payne, OH
• Providers in Payne, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.