Candice Russell, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0041352 Issued in OH

Practice address

119 Jennings Ave
Salem, OH 44460-2726

Phone

(330) 932-1823

Fax

(330) 932-1832

NPI assigned

Jan 13, 2026

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Mental Health LLCGroup PAC ID 7315323987, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aspire Mental Health LLC

  • Community/Behavioral Health Agency
  • East Liverpool, OH
  • NPI 1043946254

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1861350365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 JENNINGS AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602726",
            "telephone_number": "330-932-1823",
            "fax_number": "330-932-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 JENNINGS AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602726",
            "telephone_number": "330-932-1823",
            "fax_number": "330-932-1832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16761 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209400",
            "country_code": "US",
            "telephone_number": "330-932-1823",
            "fax_number": "330-932-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CANDICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0041352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Hutton, ENT, Inc (The Courtyard at Lexington)
• Athziri Rodriguez
• Heather Ross
• Joseph James Rousher, D.O.
• Alicia Royer
• Richard A. Russell, LD
• Lisa Ruthrauff
• Lori Kim Sakacs
• Salem Area Visiting Nurse Association
• Salem Area Visiting Nurse Association

• Psychiatric/Mental Health Nurse Practitioner in Salem, OH
• Providers in Salem, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.