Kahala Russell, LPC, CCAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007127 Issued in GA

Practice address

6815 Forest Park Dr Ste 122
Savannah, GA 31406-1511

Phone

(912) 335-7915

Fax

(888) 417-8783

NPI assigned

Jun 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1861831653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 FOREST PARK DR STE 122",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061511",
            "telephone_number": "912-335-7915",
            "fax_number": "888-417-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 FOREST PARK DR STE 122",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061511",
            "telephone_number": "912-335-7915",
            "fax_number": "888-417-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KAHALA",
        "credential": "LPC, CCAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "C0117",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Rush, MLS
• Sarah Rush, PA
• Ericka M. Russell Petty, M.D.
• Ashleigh Strickland Russell, F.N.P.
• Janay C Russell
• Megan A Russell, M.D.
• Phyllis Russell, LMT
• Robert Koji Russell, D.O.
• Lakeshia Ruth, RBT
• Linda Joy Rutherford, R.N.

• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.