Individual provider Active NPI

Brittany Elise Russell

  • Professional Counselor
  • Oak Park, IL
National Provider Identifier
1750134169
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180015934 Issued in IL
Practice address
101 Madison St
Oak Park, IL 60302-4278
Phone
(708) 859-8004
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180015934 IL Primary

Addresses

Primary practice location

101 Madison St
Oak Park, IL 60302-4278

Mailing address

413 N Princeton Ave
Villa Park, IL 60181-1923
Phone (630) 746-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180015934ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hartgrove, Inc. CurrentSince Sep 28, 2024 Accepting new patients
Uhs of Hartgrove, Inc CurrentSince Sep 28, 2024 Accepting new patients

Locations

5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1750134169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N PRINCETON AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811923",
            "telephone_number": "630-746-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024278",
            "telephone_number": "708-859-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRITTANY",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.