Active NPIIndividual providerSole proprietor

Kelly C Russell, MA, LMHC

Counselor, Mental Health in Newburyport, Massachusetts

NPI Number1376829838
Practice location
24 Pleasant St Rear, Newburyport, MA 01950-2610
Fax
—
Last updated
October 28, 2011

Kelly C Russell is a Counselor, Mental Health based in Newburyport, MA. Kelly C Russell practices in Newburyport, MA and has the professional credentials of MA, LMHC. The NPI Number for Kelly C Russell is 1376829838 and holds a License No. 7790 (MA). The current practice location address for Kelly C Russell is 24 Pleasant St Rear, Newburyport, MA 01950-2610 and can be reached out via phone at 978-387-1835.

Provider Profile Details

NPI Number
1376829838
Provider Name
Kelly C Russell
Credential
MA, LMHC
Provider Entity Type
Individual
Gender
Female
Address
24 Pleasant St Rear, Newburyport, MA 01950-2610
Phone Number
978-387-1835
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2011
Last Update Date
October 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Pleasant St Rear
Newburyport, MA 01950-2610
Zip
01950-2610
Phone Number
978-387-1835
Newburyport, MA 01950Get directions →

Provider Business Mailing Address Details

Address
25 Barton St
Newburyport, MA 01950-3102
City
Newburyport
State
MA
Zip
01950-3102
Phone Number
978-387-1835

License Information

License Number
7790
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly C Russell, MA, LMHC?

The NPI number of Kelly C Russell, MA, LMHC is 1376829838. It was assigned on October 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Kelly C Russell, MA, LMHC?

Kelly C Russell, MA, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 7790.

Where does Kelly C Russell, MA, LMHC practice?

The practice location is 24 Pleasant St Rear, Newburyport, MA 01950-2610. The office can be reached at 978-387-1835 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376829838 directly on the NPPES registry website.

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