MR. KENNETH CLYDE RUSSELL JR. CDCA
NPI 1033894324
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Q: What is Kenneth Russell's NPI number?

The NPI number for Kenneth Russell is 1033894324. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Q: What is Kenneth Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Russell was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2023

1320 PARSONS AVE, COLUMBUS, OH 43206(614) 443-2777 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2023, Jun 15, 2023 (2 updates tracked since 2023).

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About Mr. Kenneth Clyde Russell Jr. Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH CLYDE RUSSELL JR. CDCA (NPI 1033894324) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (CDCA.184930) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1033894324

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. KENNETH CLYDE RUSSELL JR.Credential: CDCA

Location Address1320 PARSONS AVEColumbus, OH 43206-3642

Mailing Address248 Rhoads AveColumbus, OH 43205-2238 · (614) 948-9604

Phone(614) 443-2777

Sole ProprietorYes

Enumeration DateJune 15, 2023

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1033894324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · CDCA.184930

1320 PARSONS AVE, Columbus, OH 43206

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Russell's NPI number?

The NPI number for Kenneth Russell is 1033894324. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Kenneth Russell located?

Kenneth Russell practices at 1320 Parsons Ave, Columbus, OH 43206. The listed phone number is (614) 443-2777.

What is Kenneth Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Russell was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.