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JEREMY K RUSSELL M.A., QMHP
NPI 1396923074
Counselor - Mental Health in Cottage Grove, OR

Active since February 05, 2008
410 N 9TH ST, COTTAGE GROVE, OR 97424(541) 942-2850(541) 942-1574 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy K Russell M.a., Qmhp NPPES

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

JEREMY K RUSSELL M.A., QMHP (NPI 1396923074) is an individual mental health provider in Cottage Grove, Oregon and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1396923074
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY K RUSSELLCredential: M.A., QMHP
Location Address410 N 9TH STCottage Grove, OR 97424-1307
Mailing Address410 N 9th StCottage Grove, OR 97424-1307 · (541) 942-2850 · Fax (541) 942-1574
Phone(541) 942-2850
Fax(541) 942-1574
Sole ProprietorNo
Enumeration DateFebruary 5, 2008
✔ NPI 1396923074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
410 N 9TH ST, Cottage Grove, OR 97424
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Other Identifiers 1

Medicaid019047OR

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.

ELIZABETH DAVIS AKERS QMHP
Counselor (Mental Health)
410 N 9TH ST
COTTAGE GROVE, OR 97424
Lane County (541) 942-2850
LISA ANN RANEY QMHP
Counselor (Mental Health)
410 N 9TH ST
COTTAGE GROVE, OR 97424
Lane County (541) 942-2850
THOMAS MELIA QMHP
Counselor (Mental Health)
410 N 9TH ST
COTTAGE GROVE, OR 97424
Lane County (541) 942-2850
SCOTT EASTBURN QMHA
Counselor (Mental Health)
410 N 9TH ST
COTTAGE GROVE, OR 97424
Lane County (541) 942-2850
MR. JEFF P KOEPPEL LCSW
Social Worker (Clinical)
410 N 9TH ST
COTTAGE GROVE, OR 97424
Lane County (541) 942-2850
IRIE HOFFMAN QMHA
Counselor (Mental Health)
410 N 9TH ST
COTTAGE GROVE, OR 97424
Lane County (541) 942-2850
TONI WHEELER QMHA
Counselor (Mental Health)
410 N 9TH ST
COTTAGE GROVE, OR 97424
Lane County (541) 942-2850
SHERRY SEAMAN MHFRA
Counselor
410 N 9TH ST
COTTAGE GROVE, OR 97424
Lane County (541) 942-2850

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 Jeremy Russell's NPI number?

The NPI number for Jeremy Russell is 1396923074. It was assigned to this individual provider in the NPPES registry on February 5, 2008.

Where is Jeremy Russell located?

Jeremy Russell practices at 410 N 9th St, Cottage Grove, OR 97424. The listed phone number is (541) 942-2850.

What is Jeremy Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeremy Russell was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.