KATIE-LYNN RUSSELL
NPI 1790453181
Counselor in Riverhead, NY

Active since September 01, 2021
400 W MAIN ST STE 300, RIVERHEAD, NY 11901(631) 369-0104 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katie-lynn Russell NPPES

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

KATIE-LYNN RUSSELL (NPI 1790453181) is an individual counselor in Riverhead, New York and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1790453181
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKATIE-LYNN RUSSELL
Location Address400 W MAIN ST STE 300Riverhead, NY 11901-2813
Mailing Address790 Park AveHuntington, NY 11743-4516 · (631) 427-3700
Sole ProprietorYes
Enumeration DateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
NPI 1790453181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

400 W MAIN ST STE 300, Riverhead, NY 11901

Other Providers at the Same Location NPPES 12

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

Student in an Organized Health Care Education/Training Program
400 W MAIN ST STE 300
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
400 W MAIN ST STE 300
RIVERHEAD, NY 11901
Counselor (Mental Health)
400 W MAIN ST STE 300
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
400 W MAIN ST STE 300
RIVERHEAD, NY 11901
Social Worker
400 W MAIN ST STE 300
RIVERHEAD, NY 11901
Peer Specialist
400 W MAIN ST STE 300
RIVERHEAD, NY 11901
Social Worker
400 W MAIN ST STE 300
RIVERHEAD, NY 11901
Social Worker
400 W MAIN ST STE 300
RIVERHEAD, NY 11901

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 Katie-lynn Russell's NPI number?

The NPI number for Katie-lynn Russell is 1790453181. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Katie-lynn Russell located?

Katie-lynn Russell practices at 400 W Main St Ste 300, Riverhead, NY 11901. The listed phone number is (631) 369-0104.

What is Katie-lynn Russell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Katie-lynn Russell was last updated on September 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.