Active NPI
Brittany Elise Russell
- Professional Counselor
- Oak Park, IL
National Provider Identifier
1750134169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180015934
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180015934 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Hartgrove, Inc. | Current | Accepting new patients | |
| Uhs of Hartgrove, Inc | Current | 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.
-
- Child & Adolescent Psychiatry Physician
- Chicago, IL
- NPI 1538560339
-
- Psychiatric Hospital
- Chicago, IL
- NPI 1396012951
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.