Stephanie Russell, LCPC, LCAC, NCC, CCT | |
809 Elmhurst Blvd, Salina, KS 67401-7405 | |
(785) 823-6322 | |
(785) 823-3109 |
Full Name | Stephanie Russell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 809 Elmhurst Blvd, Salina, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912245168 | NPI | - | NPPES |
30004309210001 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 008 (Kansas) | Secondary |
101YP2500X | Counselor - Professional | 2680 (Kansas) | Primary |
Entity Name | Central Kansas Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467491340 PECOS PAC ID: 7315921434 Enrollment ID: O20040616000659 |
Mailing Address | Practice Location Address |
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Stephanie Russell, LCPC, LCAC, NCC, CCT 809 Elmhurst Blvd, Salina, KS 67401 Ph: (785) 823-6322 | Stephanie Russell, LCPC, LCAC, NCC, CCT 809 Elmhurst Blvd, Salina, KS 67401-7405 Ph: (785) 823-6322 |
Laura L Bretz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 E Elm St, Salina, KS 67401 Phone: 785-825-0541 Fax: 785-825-4024 | |
Ms. Stephanie A Sutton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 S Santa Fe Ave, Suite 300, Salina, KS 67401 Phone: 785-452-4930 Fax: 785-452-4932 | |
Eddie Splichal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1805 S. Ohio St., Salina, KS 67401 Phone: 785-825-6224 Fax: 785-825-7595 | |
Geri Elizabeth Ranker, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 East Elm Street, Salina, KS 67401 Phone: 785-825-6224 Fax: 785-825-7595 | |
Katelyn Ann Willard, T-LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 E Elm St, Salina, KS 67401 Phone: 785-825-6224 Fax: 785-825-7595 | |
Summer D Olsen, LCP, LCAC Counselor Medicare: Medicare Enrolled Practice Location: 730 Holly Ln, Salina, KS 67401 Phone: 785-452-4930 Fax: 785-452-4932 | |
Andrea Ring, LCP Counselor Medicare: Medicare Enrolled Practice Location: 730 Holly Lane, Salina, KS 67401 Phone: 785-452-4930 Fax: 785-452-4932 |