Active NPI
Sarah Russell, MA, LCPC, NCC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1831459189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.010533
- Practice address
- 650 N Dearborn St
Suite 550
Chicago, IL 60654-3873 - Phone
- (773) 492-1844
- NPI assigned
- May 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.010533 | IL | Primary |
Addresses
Primary practice location
650 N Dearborn St
Suite 550
Chicago, IL 60654-3873
Mailing address
650 N Dearborn St
Suite 550
Chicago, IL 60654-3873
Phone (773) 492-1844
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.010533 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1831459189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N DEARBORN ST",
"address_2": "SUITE 550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543873",
"telephone_number": "773-492-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N DEARBORN ST",
"address_2": "SUITE 550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543873",
"telephone_number": "773-492-1844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "SARAH",
"name_prefix": "Ms.",
"credential": "MA, LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.010533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.