RUSSELL NATHANIEL WHITAKER B.S
NPI 1417490327
Counselor - Professional in Pedro, OH

Active since November 25, 2016
115 PRIVATE ROAD 977, PEDRO, OH 45659(740) 451-0407(740) 534-1513 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 29, 2026, Nov 25, 2016 (2 updates tracked since 2016).

About Russell Nathaniel Whitaker B.s NPPES

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

RUSSELL NATHANIEL WHITAKER B.S (NPI 1417490327) is an individual professional provider in Pedro, Ohio, licensed in Ohio (C.2507377-TRNE) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1417490327
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRUSSELL NATHANIEL WHITAKERCredential: B.S
Location Address115 PRIVATE ROAD 977Pedro, OH 45659-8608
Mailing Address115 Private Road 977Pedro, OH 45659-8608 · (740) 451-0407 · Fax (740) 534-1513
Fax(740) 534-1513
Sole ProprietorNo
Enumeration DateNovember 25, 2016
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1417490327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · C.2507377-TRNE
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
115 PRIVATE ROAD 977, Pedro, OH 45659

Accepted Insurance

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Licensed Practical Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Registered Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Licensed Practical Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Registered Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Registered Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Licensed Practical Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Licensed Practical Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Registered Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Licensed Practical Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659
Case Manager/Care Coordinator
115 PRIVATE ROAD 977
PEDRO, OH 45659
Case Manager/Care Coordinator
115 PRIVATE ROAD 977
PEDRO, OH 45659
Case Manager/Care Coordinator
115 PRIVATE ROAD 977
PEDRO, OH 45659
Counselor
115 PRIVATE ROAD 977
PEDRO, OH 45659
Counselor
115 PRIVATE ROAD 977
PEDRO, OH 45659
Social Worker
115 PRIVATE ROAD 977
PEDRO, OH 45659
Case Manager/Care Coordinator
115 PRIVATE ROAD 977
PEDRO, OH 45659
Counselor
115 PRIVATE ROAD 977
PEDRO, OH 45659
Counselor (Mental Health)
115 PRIVATE ROAD 977
PEDRO, OH 45659
Behavior Technician
115 PRIVATE ROAD 977
PEDRO, OH 45659
Licensed Practical Nurse
115 PRIVATE ROAD 977
PEDRO, OH 45659

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417490327, enumerated as an "individual" on November 25, 2016.

The provider is located at 115 PRIVATE ROAD 977 PEDRO, OH 45659 and the phone number is (740) 451-0407.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.