MRS. LISA MARIE RUSSELL
NPI 1629800222
Counselor - Addiction (Substance Use Disorder) in San Leandro, CA

Active since August 14, 2024
2035 FAIRMONT DR, SAN LEANDRO, CA 94578(510) 346-7836 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Lisa Marie Russell NPPES

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

MRS. LISA MARIE RUSSELL (NPI 1629800222) is an individual addiction (substance use disorder) provider in San Leandro, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1629800222
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LISA MARIE RUSSELL
Location Address2035 FAIRMONT DRSan Leandro, CA 94578-1088
Mailing Address2035 Fairmont DrSan Leandro, CA 94578-1088 · (510) 346-7836
Sole ProprietorNo
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
NPI 1629800222 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
2035 FAIRMONT DR, San Leandro, CA 94578

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 (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
CASTRO VALLEY, CA 94578
Emergency Medical Technician, Basic
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578

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 Lisa Russell's NPI number?

The NPI number for Lisa Russell is 1629800222. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Lisa Russell located?

Lisa Russell practices at 2035 Fairmont Dr, San Leandro, CA 94578. The listed phone number is (510) 346-7836.

What is Lisa 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 Lisa Russell was last updated on August 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.