Richard Charles Russell, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002487A Issued in IN

Practice address

126 S Main St
Monticello, IN 47960-2328

Phone

(574) 583-8055

NPI assigned

Jan 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• White County Community Counseling Services LLC

  • Mental Health Counselor
  • Monticello, IN
  • NPI 1467890293
  NPD (past) Authorized official

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1922245133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602328",
            "telephone_number": "574-583-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602328",
            "telephone_number": "574-583-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "RICHARD",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002487A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39002487A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Roach
• Elizabeth Cooley Roberds, RN
• Forest Richard Robertson II, DDS
• Mary Kathleen Rodkey
• Christy L Rund, NP
• Mary Beth Sabados
• Safe T Home Care Inc (Safe T Home Care Incl)
• Sagamore Rehabilitation Center, Inc
• Barbara M Salem, FNP
• Catherine Joan Seager, MED

• Mental Health Counselor in Monticello, IN
• Providers in Monticello, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.