SHANAY RUSSELL
NPI 1609376847
Marriage & Family Therapist in Los Angeles, CA

Q: What is Shanay Russell's NPI number?

The NPI number for Shanay Russell is 1609376847. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Q: What is Shanay Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shanay Russell was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 14, 2018PECOS Enrolled

1433 S ROBERTSON BLVD, LOS ANGELES, CA 90035(301) 785-2121(310) 553-6052 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2019, Feb 14, 2018 (2 updates tracked since 2018).

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About Shanay Russell NPPES

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

SHANAY RUSSELL (NPI 1609376847) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT116140) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609376847

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHANAY RUSSELL

Location Address1433 S ROBERTSON BLVDLos Angeles, CA 90035-3414

Mailing Address1433 S Robertson BlvdLos Angeles, CA 90035-3414 · (301) 785-2121 · Fax (310) 553-6052

Phone(301) 785-2121

Fax(310) 553-6052

Sole ProprietorNo

Enumeration DateFebruary 14, 2018

Last NPPES UpdateDecember 3, 20192 updates tracked since enumeration

✔ NPI 1609376847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · LMFT116140✔ Licensed in CA · IMF104126

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.

1433 S ROBERTSON BLVD, Los Angeles, CA 90035

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanay Russell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SHARON HEATHER SOLL M.A.

Marriage & Family Therapist