Jennifer Anne Russell, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF63783 Issued in CA

Practice address

5777 Madison Ave Ste 240
Sacramento, CA 95841-3308

Phone

(916) 239-6315

NPI assigned

Apr 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1780973263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 MADISON AVE STE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413308",
            "telephone_number": "916-239-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 MADISON AVE STE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413308",
            "telephone_number": "916-239-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF63783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L. Russell
• Eshoniah Bernice Russell
• Frank Lyman Russell, M.A., M.F.T.
• Gail A Russell, MD
• Hannah Russell, AGACNP-BC
• Keiannia Russell
• Kyla Ann Russell, PT
• Lindsay H. Russell, DPM
• Madison Russell
• Michael J Russell, PHD

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.