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SHELLY DAWN RUSSELL LCDCIII.162408
NPI 1679055719
Counselor - Addiction (Substance Use Disorder) in Coal Grove, OH

Active since September 05, 2018
323 MARION PIKE STE 1, COAL GROVE, OH 45638(740) 237-4981(877) 325-2816 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 3, 2025, Feb 15, 2021, Jun 19, 2019 and 1 more (4 updates tracked since 2018).

About Shelly Dawn Russell Lcdciii.162408 NPPES

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

SHELLY DAWN RUSSELL LCDCIII.162408 (NPI 1679055719) is an individual addiction (substance use disorder) provider in Coal Grove, Ohio, licensed in Ohio (LCDCIII.162408) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1679055719
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHELLY DAWN RUSSELLCredential: LCDCIII.162408
Location Address323 MARION PIKE STE 1Coal Grove, OH 45638-2958
Mailing Address323 Marion Pike Ste 1Coal Grove, OH 45638-2958 · (740) 237-4981 · Fax (877) 325-2816
Phone(740) 237-4981
Fax(877) 325-2816
Sole ProprietorYes
Enumeration DateSeptember 5, 2018
Last NPPES UpdateJune 3, 20254 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1679055719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · LCDCIII.162408
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
323 MARION PIKE STE 1, Coal Grove, OH 45638
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Other Identifiers 1

Medicaid0349497OH

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.

RANDY WAYNE CABLE II LISW, LICDC, PRS
Social Worker (Clinical)
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
KYLE STEVAN BLACK
Case Manager/Care Coordinator
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
COURTNEY GALLION
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
AMBER ARMS CDCA
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
EMILY CHRISTIAN CDCA.184182
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
ELIZABETH CLIFT PRS
Peer Specialist
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
ELIZABETH MAINS LICDC-CS.162074
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
ALLZIA JOSEPH POLLOCK CDCA.177271
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981

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 Shelly Russell's NPI number?

The NPI number for Shelly Russell is 1679055719. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Shelly Russell located?

Shelly Russell practices at 323 Marion Pike Ste 1, Coal Grove, OH 45638. The listed phone number is (740) 237-4981.

What is Shelly 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 Shelly Russell was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.