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RANDOLPH G. RUSS
NPI 1548625007
Counselor - Mental Health in Lake Worth, FL

Active since December 28, 2015
8461 LAKE WORTH RD, SUITE 120, LAKE WORTH, FL 33467(561) 201-7180 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2021, Jul 30, 2021, Dec 28, 2015 (3 updates tracked since 2015).

About Randolph G. Russ NPPES

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

RANDOLPH G. RUSS (NPI 1548625007) is a healthcare organization registered as a mental health in Lake Worth, Florida and active in the NPI registry since December 2015. The organization lists Randolph Graham Russ, President, as its authorized official.

NPPES Registry Identity

NPI1548625007
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameRANDOLPH G. RUSS
Location Address8461 LAKE WORTH RD, SUITE 120Lake Worth, FL 33467-2474
Mailing Address8461 Lake Worth Rd, Suite 120Lake Worth, FL 33467 · (561) 201-7180 · Fax (561) 839-1802
Phone(561) 201-7180
Organization SubpartNo
Authorized OfficialRandolph Graham RussPresident · (561) 201-7180
Enumeration DateDecember 28, 2015
Last NPPES UpdateAugust 2, 20213 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1548625007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior AnalystTaxonomy 103K00000X
8461 LAKE WORTH RD, Lake Worth, FL 33467
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Other Identifiers 2

Medicaid102043700FL
Medicaid000094200FL

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

TOUCH BY ANGELS, LLC
In Home Supportive Care
8461 LAKE WORTH RD, SUITE #126
LAKE WORTH, FL 33467
Palm Beach County (561) 209-6017
PRESTIGE GLOBAL NURSING SERVICES
Nursing Care
8461 LAKE WORTH RD, SUITE 240
LAKE WORTH, FL 33467
Palm Beach County (561) 309-0478
MILADYS MERCEDES LAZAGA
Behavior Technician
8461 LAKE WORTH RD
LAKE WORTH, FL 33467
Palm Beach County (561) 315-1470
YANILKA VALENZUELA CASTILLO
Behavior Technician
8461 LAKE WORTH RD
LAKE WORTH, FL 33467
Palm Beach County (561) 315-4170
LINDA A BULLEN LCSW
Social Worker
8461 LAKE WORTH RD, SUITE 125
LAKE WORTH, FL 33467
Palm Beach County (561) 533-3903
LINDA CLAIRE SCHEIBLE L.C.S.W.
Social Worker (Clinical)
8461 LAKE WORTH RD
LAKE WORTH, FL 33467
Palm Beach County (561) 209-6868
RACHEL MON
Behavior Analyst
8461 LAKE WORTH RD
LAKE WORTH, FL 33467
Palm Beach County (561) 315-4170
DEANA N VANOVER
Behavior Technician
8461 LAKE WORTH RD
LAKE WORTH, FL 33467
Palm Beach County (561) 315-4170

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 Randolph G. Russ's NPI number?

The NPI number for Randolph G. Russ is 1548625007. It was assigned to this organization in the NPPES registry on December 28, 2015.

Where is Randolph G. Russ located?

Randolph G. Russ is located at 8461 Lake Worth Rd Suite 120, Lake Worth, FL 33467. The listed phone number is (561) 201-7180.

What is Randolph G. Russ'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 Randolph G. Russ was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.