Active NPI
Julie D Russell, MSCP, LPC, NCC
- Professional Counselor
- Mars, PA
National Provider Identifier
1871898882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005990
- Practice address
- 195 Crowe Ave
Mars, PA 16046-3303 - Phone
- (724) 732-1229
- Fax
- (724) 625-4949
- NPI assigned
- Jan 21, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005990 | PA | Primary |
Addresses
Primary practice location
195 Crowe Ave
Mars, PA 16046-3303
Mailing address
195 Crowe Ave
Mars, PA 16046-3303
Phone (724) 732-1229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC005990 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1871898882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 CROWE AVE",
"city": "MARS",
"state": "PA",
"postal_code": "160463303",
"telephone_number": "724-732-1229",
"fax_number": "724-625-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 CROWE AVE",
"city": "MARS",
"state": "PA",
"postal_code": "160463303",
"telephone_number": "724-732-1229",
"fax_number": "724-625-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JULIE",
"middle_name": "D",
"credential": "MSCP, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mars, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.