Individual provider Active NPI

Neona Russ, LCPC

  • Professional Counselor
  • Mission, KS
National Provider Identifier
1790220184
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2910 Issued in KS
Practice address
5201 Johnson Dr Ste 305
Mission, KS 66205-2920
Phone
(660) 924-2425
Fax
(913) 229-7511
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abella Psychotherapy and Consulting LLC 5 clinicians

Practice addresses (Care Compare)

17795 W 106TH St
Suite 202
Olathe, KS 66061-3155
Phone (913) 359-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204002734 KS Practitioner - Mental Health Counselor 1759817539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
2910KSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abella Psychotherapy & Consulting LLC CurrentSince Jan 1, 2025 Accepting new patients
Crossroad to Change Mental Health CurrentSince Sep 29, 2024 Accepting new patients

Locations

5201 Johnson Dr
Ste 305
Mission, KS 66205
Phone (913) 220-7732

17795 W 106th St
Ste 202
Olathe, KS 66061
Phone (913) 296-0712

17795 W 106th St
Ste 200
Olathe, KS 66061
Phone (913) 359-3880

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2910 KS
Mental Health Counselor 101YM0800X 2910 KS
Professional Counselor 101YP2500X 2910 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

5201 Johnson Dr Ste 305
Mission, KS 66205-2920

Mailing address

5201 Johnson Dr Ste 305
Mission, KS 66205-2920
Phone (913) 220-7732

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2024.

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1790220184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 JOHNSON DR STE 305",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052920",
            "telephone_number": "913-220-7732",
            "fax_number": "913-229-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 JOHNSON DR STE 305",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662052920",
            "telephone_number": "660-924-2425",
            "fax_number": "913-229-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "NEONA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "2910",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2910",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.