Marlane Russell - Williams, MA, NCC, RIC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

12309 Woodlawn CT
Woodbridge, VA 22192-1920

Phone

(703) 625-4792

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1972224285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 WOODLAWN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921920",
            "telephone_number": "703-625-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 WOODLAWN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221921920",
            "telephone_number": "703-625-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL - WILLIAMS",
        "first_name": "MARLANE",
        "credential": "MA, NCC, RIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1603620",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12309 Woodlawn Ct",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221921920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dalton Lakota Rudd, LCSW-S
• Drusilla Euphrates Aanique Ruffin
• Seth Rumbley, LCSW
• Jennifer M-E Runner, RESIDENT IN MFT
• Abigail Yvonne Runyans, PA-C
• Peter Cary Rustan, FNP-C
• Ruxton Health Care III, LLC
• S. Carrington, Inc
• S&S Health
• Justin Jeffrey Saadein-Morales, MBA

• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.