Kimberly Russell, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1800950 Issued in OH

Practice address

45875 Bell School Rd Ste B
East Liverpool, OH 43920-8728

Phone

(234) 254-5656

Fax

(234) 254-5655

NPI assigned

Mar 8, 2016

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Insight Clinical Counseling and WellnessGroup PAC ID 3375901929, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Insight Clinical Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Liverpool, OH
  • NPI 1992431043
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1972964781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45875 BELL SCHOOL RD STE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208728",
            "telephone_number": "234-254-5656",
            "fax_number": "234-254-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45875 BELL SCHOOL RD STE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439208728",
            "telephone_number": "234-254-5656",
            "fax_number": "234-254-5655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445021037",
            "country_code": "US",
            "telephone_number": "330-744-2991 x129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KIMBERLY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1300676",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B. Sylvies, Psy.D, Inc.
• Hira Rohela, MD
• Ronci Family Discount Drug
• Amber Lynn Rowand, RN
• Candice Russell, APRN
• Andrew Ryan, LPCC-S
• Ishtpreet Singh Saggoo, M.D.
• Olben Saint Fleur, M.D.
• Ryan Sampson
• Robert Anthony Sanchez

• Professional Counselor in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.