KEVIN PATRICK RUSSELL MA, LPC
NPI 1174339683
Counselor - Professional in Ambler, PA

Active since December 09, 2024

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Patrick Russell Ma, Lpc NPPES

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

KEVIN PATRICK RUSSELL MA, LPC (NPI 1174339683) is an individual professional provider in Ambler, Pennsylvania, licensed in Pennsylvania (PC004191) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1174339683
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN PATRICK RUSSELLCredential: MA, LPC
Location Address85 LEMON STAmbler, PA 19002-4812
Mailing Address85 Lemon StAmbler, PA 19002-4812 · (445) 255-1379
Sole ProprietorYes
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
NPI 1174339683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in PA · PC004191 Licensed in NJ · 37PC01083300
85 LEMON ST, Ambler, PA 19002

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 Kevin Russell's NPI number?

The NPI number for Kevin Russell is 1174339683. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Kevin Russell located?

Kevin Russell practices at 85 Lemon St, Ambler, PA 19002. The listed phone number is (445) 255-1379.

What is Kevin Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kevin Russell was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.