Active NPI
Catherine Russell
- Mental Health Counselor
- Lowell, MA
National Provider Identifier
1740850163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 35 Market St
Lowell, MA 01852-6245 - Phone
- (978) 459-0389
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
35 Market St
Lowell, MA 01852-6245
Mailing address
40 Shattuck Rd
Andover, MA 01810-2459
Phone (781) 606-1674
Other practice location 1
40 Shattuck Rd
Andover, MA 01810-2459
Phone (781) 606-1674
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewell Counseling | Mental Health | Past | Accepting new patients |
| Bridgewell, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Lowell, MA
- NPI 1922316058
-
- Community/Behavioral Health Agency
- Lowell, MA
- NPI 1033262860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1740850163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SHATTUCK RD",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018102459",
"telephone_number": "781-606-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MARKET ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018526245",
"telephone_number": "978-459-0389"
}
],
"practiceLocations": [
{
"address_1": "40 Shattuck Rd",
"address_purpose": "LOCATION",
"city": "Andover",
"state": "MA",
"postal_code": "018102459",
"country_code": "US",
"telephone_number": "781-606-1674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.