Individual provider Active NPI

Darsi L Russell, LCMHC

  • Mental Health Counselor
  • Milford, NH
National Provider Identifier
1881717437
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
662 Issued in NH
Practice address
15 Union St
Milford, NH 03055-4875
Phone
(603) 673-2508
Fax
(603) 673-2717
NPI assigned
Apr 9, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 662 NH Primary

Addresses

Primary practice location

15 Union St
Milford, NH 03055-4875

Mailing address

15 Union St
Milford, NH 03055-4875
Phone (603) 673-2508

Other identifiers 1

IdentifierTypeStateIssuer
30425000MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20240201001073 NH Practitioner - Mental Health Counselor 6709239148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Harbor Homes, Inc.Group PAC ID 4587714779, 14 clinicians

Practice addresses (Care Compare)

45 High St
Nashua, NH 03060-3312
Phone (603) 821-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Homes, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Harbor Homes, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Milford Regional Counseling Services Past Accepting new patients

Locations

45 High St
Nashua, NH 03060
Phone (603) 821-7788

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1881717437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 UNION ST",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554875",
            "telephone_number": "603-673-2508",
            "fax_number": "603-673-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 UNION ST",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554875",
            "telephone_number": "603-673-2508",
            "fax_number": "603-673-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DARSI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30425000",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, NH

Sources for this page

Verify at the official NPI Registry.