Provider Type Icon

KELLI RUSSELL M.A. NPI 1679290274


NPI Information

NPI: 1679290274
Provider Name: KELLI RUSSELL, M.A.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2025 SHADYTREE LN
ENCINITAS, CA
ZIP 92024
Phone: (858) 733-1617
Get Directions

Kelli Russell, M.A. is a mental health counselor in Encinitas, CA. Kelli Russell, M.A. NPI is 1679290274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2025 SHADYTREE LN
ENCINITAS, CA
ZIP 92024-121
Phone: (858) 733-1617

The enumeration date for this NPI number is 10/24/2022 and was last updated on 10/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.