Active NPI
Taylor Russell
- Counselor
- Gaithersburg, MD
National Provider Identifier
1902652365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP17102
- Practice address
- 845 Quince Orchard Blvd Ste F
Gaithersburg, MD 20878-1676 - Phone
- (301) 769-5878
- NPI assigned
- Apr 26, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP17102 | Primary |
Addresses
Primary practice location
845 Quince Orchard Blvd Ste F
Gaithersburg, MD 20878-1676
Mailing address
346 Urban Ave
Gaithersburg, MD 20878-4054
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Psychological Wellness LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gaithersburg, MD
- NPI 1386201721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1902652365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 URBAN AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208784054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 QUINCE ORCHARD BLVD STE F",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781676",
"telephone_number": "301-769-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-26",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "LGP17102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.