Individual provider Active NPI

Russell Burton Reader IV, CADC, ASMHSW

  • Addiction (Substance Use Disorder) Counselor
  • Milford, MI
National Provider Identifier
1790059079
Registry record updated Mar 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2-01119 Issued in MI
Practice address
120 S Main St
Suite C
Milford, MI 48381-1975
Phone
(248) 390-5791
Fax
(866) 250-6455
NPI assigned
Mar 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-01119 MI Primary
Mental Health Counselor 101YM0800X MI

Addresses

Primary practice location

120 S Main St
Suite C
Milford, MI 48381-1975

Mailing address

120 S Main St
Suite C
Milford, MI 48381-1975
Phone (248) 390-5791

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

State licenses

LicenseStateTypeSpecialty
2-01119MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Counseling Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1330732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330732800000",
    "number": "1790059079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "address_2": "SUITE C",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811975",
            "telephone_number": "248-390-5791",
            "fax_number": "866-250-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "address_2": "SUITE C",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811975",
            "telephone_number": "248-390-5791",
            "fax_number": "866-250-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READER",
        "first_name": "RUSSELL",
        "middle_name": "BURTON",
        "name_suffix": "IV",
        "credential": "CADC, ASMHSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-03",
        "last_updated": "2012-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01119",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.