Active NPI
Jemie B Russell, PHD, LMHC
- Mental Health Counselor
- Pinellas Park, FL
National Provider Identifier
1760542534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7288
- Practice address
- 10707 66TH St
Ste 6
Pinellas Park, FL 33782-2352 - Phone
- (727) 743-8446
- Fax
- (727) 577-3792
- NPI assigned
- Dec 11, 2006
- 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 | MH7288 | FL | Primary |
Addresses
Primary practice location
10707 66TH St
Ste 6
Pinellas Park, FL 33782-2352
Mailing address
10707 66TH St
Ste 6
Pinellas Park, FL 33782-2352
Phone (727) 743-8446
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7288 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Life Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Pinellas Park, FL
- NPI 1669548442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760542534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10707 66TH ST",
"address_2": "STE 6",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337822352",
"telephone_number": "727-743-8446",
"fax_number": "727-577-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10707 66TH ST",
"address_2": "STE 6",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337822352",
"telephone_number": "727-743-8446",
"fax_number": "727-577-3792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JEMIE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.