Active NPI
Kyrie Marks Russ, LCPC
- Mental Health Counselor
- Helena, MT
National Provider Identifier
1891240123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCPC-LIC-19
- Practice address
- 2728 Colonial Dr Ste 202
Helena, MT 59601 - Phone
- (406) 438-6439
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-LIC-19 | MT | Primary |
Addresses
Primary practice location
2728 Colonial Dr Ste 202
Helena, MT 59601
Mailing address
PO Box 17
Clancy, MT 59634-0017
Phone (406) 210-3944
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 |
|---|---|---|---|
| LCPC-LIC-19 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1891240123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17",
"city": "CLANCY",
"state": "MT",
"postal_code": "596340017",
"telephone_number": "406-210-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 COLONIAL DR STE 202",
"city": "HELENA",
"state": "MT",
"postal_code": "59601",
"telephone_number": "406-438-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "KYRIE",
"middle_name": "MARKS",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "LCPC-LIC-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.