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MR. KEVIN RUSSELL M.F.T.
NPI 1659512978
Marriage & Family Therapist in Santa Rosa, CA

Active since March 17, 2009
1030 2ND ST, SANTA ROSA, CA 95404(707) 523-4160 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kevin Russell M.f.t. NPPES

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

MR. KEVIN RUSSELL M.F.T. (NPI 1659512978) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (25095) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1659512978
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KEVIN RUSSELLCredential: M.F.T.
Location Address1030 2ND STSanta Rosa, CA 95404-6607
Mailing Address1030 2nd StSanta Rosa, CA 95404-6607 · (707) 523-4160
Phone(707) 523-4160
Sole ProprietorYes
Enumeration DateMarch 17, 2009
✔ NPI 1659512978 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 · 25095
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.
1030 2ND ST, Santa Rosa, CA 95404
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Other Identifiers 1

Medicare PIN106H00000XCA

Other Providers at the Same Location NPPES 3

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

SHER E WINSTON LMFT
Marriage & Family Therapist
1030 2ND ST, #7
SANTA ROSA, CA 95404
Sonoma County (415) 533-8176
CINDY JEAN MCCARTHY LCSW
Social Worker (Clinical)
1030 2ND ST
SANTA ROSA, CA 95404
Sonoma County (707) 889-1112
MS. BARBARA KAYLIN NOBLIN MFT
Marriage & Family Therapist
1030 2ND ST
SANTA ROSA, CA 95404
Sonoma County (707) 578-1064

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 Kevin Russell's NPI number?

The NPI number for Kevin Russell is 1659512978. It was assigned to this individual provider in the NPPES registry on March 17, 2009.

Where is Kevin Russell located?

Kevin Russell practices at 1030 2nd St, Santa Rosa, CA 95404. The listed phone number is (707) 523-4160.

What is Kevin Russell's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Russell was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.