MRS. ANDREA RUSSUM M.S.
NPI 1730627209
Counselor - Mental Health in Clarksville, TN

Active since February 06, 2017
1820 MEMORIAL CIR, CLARKSVILLE, TN 37043(931) 436-2126 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Andrea Russum M.s. NPPES

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

MRS. ANDREA RUSSUM M.S. (NPI 1730627209) is an individual mental health provider in Clarksville, Tennessee and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1730627209
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ANDREA RUSSUMCredential: M.S.
Location Address1820 MEMORIAL CIRClarksville, TN 37043-4539
Mailing Address417 Rivermont DrClarksville, TN 37043-5930 · (931) 249-4723
Sole ProprietorNo
Enumeration DateFebruary 6, 2017
NPI 1730627209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1820 MEMORIAL CIR, Clarksville, TN 37043

Other Names 1

Former Name (1)Andrea Keen

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 (Mental Health)
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043
Counselor (Mental Health)
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043
Case Manager/Care Coordinator
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043
Social Worker
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043
Counselor (Mental Health)
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043
Social Worker
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043
Social Worker (School)
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043
Counselor (Mental Health)
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043

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 Andrea Russum's NPI number?

The NPI number for Andrea Russum is 1730627209. It was assigned to this individual provider in the NPPES registry on February 6, 2017. The provider is also known as Andrea Keen.

Where is Andrea Russum located?

Andrea Russum practices at 1820 Memorial Cir, Clarksville, TN 37043. The listed phone number is (931) 436-2126.

What is Andrea Russum'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 Andrea Russum was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.