ELIZABETH ROSE RUSSELL
NPI 1508551169
Counselor - Mental Health in Chicago, IL

Active since April 10, 2023
3665 N BROADWAY ST, CHICAGO, IL 60613(773) 496-4433 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Rose Russell NPPES

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

ELIZABETH ROSE RUSSELL (NPI 1508551169) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1508551169
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH ROSE RUSSELL
Location Address3665 N BROADWAY STChicago, IL 60613-4567
Mailing Address3665 N Broadway StChicago, IL 60613-4567
Sole ProprietorNo
Enumeration DateApril 10, 2023
NPPES CertifiedApril 10, 2023
NPI 1508551169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3665 N BROADWAY ST, Chicago, IL 60613

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.

Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Physician Assistant
3665 N BROADWAY ST
CHICAGO, IL 60613
Social Worker (Clinical)
3665 N BROADWAY ST
CHICAGO, IL 60613
Student in an Organized Health Care Education/Training Program
3665 N BROADWAY ST
CHICAGO, IL 60613
Physician Assistant
3665 N BROADWAY ST
CHICAGO, IL 60613
Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Marriage & Family Therapist
3665 N BROADWAY ST
CHICAGO, IL 60613

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 Elizabeth Russell's NPI number?

The NPI number for Elizabeth Russell is 1508551169. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Elizabeth Russell located?

Elizabeth Russell practices at 3665 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 496-4433.

What is Elizabeth 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 Elizabeth Russell was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.