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CONNIE RUSSELL CSAC
NPI 1447691167
Counselor - Addiction (Substance Use Disorder) in Kenosha, WI

Active since July 10, 2013
712 55TH ST, KENOSHA, WI 53140(262) 842-0538 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connie Russell Csac NPPES

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

CONNIE RUSSELL CSAC (NPI 1447691167) is an individual addiction (substance use disorder) provider in Kenosha, Wisconsin, licensed in Wisconsin (1915-132) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1447691167
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCONNIE RUSSELLCredential: CSAC
Location Address712 55TH STKenosha, WI 53140-6506
Mailing Address5407 8th AveKenosha, WI 53140-3715 · (262) 657-7188
Phone(262) 842-0538
Sole ProprietorNo
Enumeration DateJuly 10, 2013
Last NPPES UpdateJuly 11, 2013
✔ NPI 1447691167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 1915-132
712 55TH ST, Kenosha, WI 53140
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Other Providers at the Same Location NPPES 2

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

MATHEW MCCARTHY, MD, SC
Clinic/Center (Adult Mental Health)
712 55TH ST
KENOSHA, WI 53140
Kenosha County (262) 842-0538
MS. KRISTIN JOY STENSGARD BS, MS, SAC-IT
Counselor (Professional)
712 55TH ST
KENOSHA, WI 53140
Kenosha County (262) 842-0538

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 Connie Russell's NPI number?

The NPI number for Connie Russell is 1447691167. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Connie Russell located?

Connie Russell practices at 712 55th St, Kenosha, WI 53140. The listed phone number is (262) 842-0538.

What is Connie Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Connie Russell was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.