Active NPI
Betty Grace Russell, LCSW
- Social Worker
- Las Vegas, NV
National Provider Identifier
1801209267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6120-S
- Practice address
- 901 N Jones Blvd Unit 213
Las Vegas, NV 89108-1603 - Phone
- (702) 626-3230
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C-12165 | NM | |
| Mental Health Counselor | 101YM0800X | 7437-C | NV | |
| Social Worker | 104100000X | 6120-S | NV | Primary |
Addresses
Primary practice location
901 N Jones Blvd Unit 213
Las Vegas, NV 89108-1603
Mailing address
901 N Jones Blvd Unit 213
Las Vegas, NV 89108-1603
Phone (702) 626-3230
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-12165 | NM | MD | Mental Health Counselor |
| 7437-C | NV | MD | Mental Health Counselor |
| 6120-S | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1801209267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N JONES BLVD UNIT 213",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891081603",
"telephone_number": "702-626-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N JONES BLVD UNIT 213",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891081603",
"telephone_number": "702-626-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "BETTY",
"middle_name": "GRACE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "C-12165",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "7437-C",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "6120-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.