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JOSEPH DONALD RUSSOM
NPI 1356077911
Peer Specialist in Muskegon, MI

Active since July 26, 2022
1221 SHONAT ST, MUSKEGON, MI 49442(231) 666-4443 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joseph Donald Russom NPPES

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

JOSEPH DONALD RUSSOM (NPI 1356077911) is an individual peer specialist in Muskegon, Michigan and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1356077911
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOSEPH DONALD RUSSOM
Location Address1221 SHONAT STMuskegon, MI 49442-5363
Mailing Address1215 Fulton St EGrand Rapids, MI 49503-3849 · (616) 742-0351
Phone(231) 666-4443
Sole ProprietorNo
Enumeration DateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1356077911 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.
1221 SHONAT ST, Muskegon, MI 49442
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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 Joseph Russom's NPI number?

The NPI number for Joseph Russom is 1356077911. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Joseph Russom located?

Joseph Russom practices at 1221 Shonat St, Muskegon, MI 49442. The listed phone number is (231) 666-4443.

What is Joseph Russom'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 Joseph Russom was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.