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JUANITA GWENDOLYN RUSSELL MFT
NPI 1497851174
Marriage & Family Therapist in Santa Rosa, CA

Active since September 16, 2006Opted out of Medicare · through Jan 1, 2028
4527 MONTGOMERY DR, #F, SANTA ROSA, CA 95409(707) 547-0567(707) 539-7096 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juanita Gwendolyn Russell Mft NPPES

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

JUANITA GWENDOLYN RUSSELL MFT (NPI 1497851174) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (29702) and active in the NPI registry since September 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1497851174
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJUANITA GWENDOLYN RUSSELLCredential: MFT
Location Address4527 MONTGOMERY DR, #FSanta Rosa, CA 95409
Mailing Address4527 Montgomery Dr, #fSanta Rosa, CA 95409 · (707) 547-0567 · Fax (707) 539-7096
Phone(707) 547-0567
Fax(707) 539-7096
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497851174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 29702
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4527 MONTGOMERY DR, Santa Rosa, CA 95409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Juanita Gwendolyn Russell Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

CHRISTINE DUFOND
Marriage & Family Therapist
4527 MONTGOMERY DR, SUITE F
SANTA ROSA, CA 95409
Sonoma County (707) 483-8232
MS. LINDA COLLETT MFT
Marriage & Family Therapist
4527 MONTGOMERY DR, SUITE F
SANTA ROSA, CA 95409
Sonoma County (707) 322-8198
HARRIET KATZ LCSW
Social Worker (Clinical)
4527 MONTGOMERY DR, STE F
SANTA ROSA, CA 95409
Sonoma County (707) 544-8879
DR. NORMAN E EASLEY N.D.
Naturopath
4527 MONTGOMERY DR, SUITE A
SANTA ROSA, CA 95409
Sonoma County (707) 568-5602
ANNIE OSBORN L.AC.
Acupuncturist
4527 MONTGOMERY DR, SUITE A
SANTA ROSA, CA 95409
Sonoma County (707) 547-0500
SUSAN RUST HARTZ LMFT
Marriage & Family Therapist
4527 MONTGOMERY DR, SUITE F
SANTA ROSA, CA 95409
Sonoma County (707) 538-2011

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 Juanita Russell's NPI number?

The NPI number for Juanita Russell is 1497851174. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Juanita Russell located?

Juanita Russell practices at 4527 Montgomery Dr #f, Santa Rosa, CA 95409. The listed phone number is (707) 547-0567.

What is Juanita Russell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Juanita Russell enrolled in Medicare?

No. Juanita Russell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Juanita Russell accept?

Health plans from Providence Health Plan list Juanita Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juanita Russell was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.