Individual provider Active NPI

Michele Russell, LPCC, NCC

  • Professional Counselor
  • Maysville, KY
National Provider Identifier
1902220056
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
171921 Issued in KY
Practice address
901 US Highway 68
Suite 900
Maysville, KY 41056-9188
Phone
(606) 584-7055
Fax
(866) 533-4929
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 171921 KY Primary

Addresses

Primary practice location

901 US Highway 68
Suite 900
Maysville, KY 41056-9188

Mailing address

901 US Highway 68
Suite 900
Maysville, KY 41056-9188
Phone (606) 584-7055

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

LicenseStateTypeSpecialty
171921KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Community Services Professional Past Accepting new patients
NHCS Holdings Professional PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1902220056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 US HIGHWAY 68",
            "address_2": "SUITE 900",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569188",
            "telephone_number": "606-584-7055",
            "fax_number": "866-533-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 US HIGHWAY 68",
            "address_2": "SUITE 900",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569188",
            "telephone_number": "606-584-7055",
            "fax_number": "866-533-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MICHELE",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "171921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.