Active NPI
Christopher Russell, CIT
- Counselor
- Slidell, LA
National Provider Identifier
1952473423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1929
- Practice address
- 316 Howze Beach Rd
Slidell, LA 70461-4684 - Phone
- (985) 639-8040
- Fax
- (866) 374-8776
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- 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 | 1929 | LA | Primary |
Addresses
Primary practice location
316 Howze Beach Rd
Slidell, LA 70461-4684
Mailing address
316 Howze Beach Rd
Slidell, LA 70461-4684
Phone (985) 639-8040
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 |
|---|---|---|---|
| 1929 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truth180 Adolescent and Adult Clinical Services, 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.
-
- Clinical Social Worker
- Covington, LA
- NPI 1477124543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952473423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 HOWZE BEACH RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614684",
"telephone_number": "985-639-8040",
"fax_number": "866-374-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 HOWZE BEACH RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614684",
"telephone_number": "985-639-8040",
"fax_number": "866-374-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "CHRISTOPHER",
"credential": "CIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "1929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.