Russell Pool, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-6244 Issued in CO

Practice address

1911 Main Ave
Suite 256
Durango, CO 81301-5078

Phone

(970) 375-7777

NPI assigned

Oct 5, 2011

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Russ Pool Psychotherapy, LLC

  • Professional Counselor
  • Durango, CO
  • NPI 1831726769
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1881978120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LEWIS MOUNTAIN LN",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016530",
            "telephone_number": "970-375-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 MAIN AVE",
            "address_2": "SUITE 256",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015078",
            "telephone_number": "970-375-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "RUSSELL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-6244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Pitcher, LPCC
• Shealynn Pittman
• Kyle Piwonka, D.O.
• Amie Rebecca Podolsky, LSW
• Kristin E Pogue, PA-C
• Joan Pope, MS OCCUPATIONAL THER
• Savannah Porter
• Portercare Adventist Health System
• Justin M Possner, D.O.
• Amy Potter, FNP-BC

• Professional Counselor in Durango, CO
• Providers in Durango, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.