Jinna K. Russell, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4563 Issued in CO

Legal business name

JINNA K. RUSSELL, INC.

Practice address

4070 Harlan St
Wheat Ridge, CO 80033-5116

Phone

(303) 456-2889

Fax

(303) 455-0200

NPI assigned

May 16, 2014

Organization subpart

No

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

Authorized official

Name

Jinna K Russell, MS, LPC

Title

Owner

Phone

(303) 456-2889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1891106449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335116",
            "telephone_number": "303-456-2889",
            "fax_number": "303-455-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335116",
            "telephone_number": "303-456-2889",
            "fax_number": "303-455-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINNA K. RUSSELL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JINNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-456-2889",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.