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KLAY RUSSELL
NPI 1245955426
Peer Specialist in Richmond, MI

Active since October 10, 2022
400 STODDARD RD, RICHMOND, MI 48062(810) 392-2167 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Klay Russell NPPES

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

KLAY RUSSELL (NPI 1245955426) is an individual peer specialist in Richmond, Michigan and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1245955426
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKLAY RUSSELL
Location Address400 STODDARD RDRichmond, MI 48062-2505
Mailing Address1712 Water StPort Huron, MI 48060-4136 · (810) 662-2749
Phone(810) 392-2167
Sole ProprietorNo
Enumeration DateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1245955426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
400 STODDARD RD, Richmond, MI 48062
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB PATTENAUDE
Social Worker (Clinical)
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KATIANNE ROSE MURPHY
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
AUTUMN LYNCH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KAY I JOHNSON
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
CORTEZ CODY GILES
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
JUSTIN JACOBSON
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MR. DOMINIC DEWAYNE SMITH
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KIRSTEN HEIMBACH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167

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 Klay Russell's NPI number?

The NPI number for Klay Russell is 1245955426. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Klay Russell located?

Klay Russell practices at 400 Stoddard Rd, Richmond, MI 48062. The listed phone number is (810) 392-2167.

What is Klay Russell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Klay Russell was last updated on October 10, 2022. 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.