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MR. GARY ALLEN RUSSELL JR.
NPI 1811478498
Case Manager/Care Coordinator in Lafayette, CO

Active since August 22, 2018
1455 DIXON AVE, LAFAYETTE, CO 80026(720) 406-3604 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2024, Aug 22, 2018 (2 updates tracked since 2018).

About Mr. Gary Allen Russell Jr. NPPES

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

MR. GARY ALLEN RUSSELL JR. (NPI 1811478498) is an individual case manager/care coordinator provider in Lafayette, Colorado and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1811478498
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. GARY ALLEN RUSSELL JR.
Location Address1455 DIXON AVELafayette, CO 80026-8879
Mailing Address1455 Dixon AveLafayette, CO 80026-8879 · (303) 443-8500
Phone(720) 406-3604
Sole ProprietorYes
Enumeration DateAugust 22, 2018
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1811478498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1455 DIXON AVE, Lafayette, CO 80026
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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.

SOFIA MCILROY
Student in an Organized Health Care Education/Training Program
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
LAURA GRACE-COLE SPICER MSW, CACII
Social Worker
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 358-9371
KARLIE MICHELLE ESWORTHY
Counselor (Professional)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
WILLIAM GAUB
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
MOLLIE E SHIN
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (713) 384-8421
CHRISTINE JONES LCSW
Social Worker (Clinical)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (315) 317-3795
DANA MARIE GUTIERREZ
Counselor (Mental Health)
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
CHLOE WEBER
Student in an Organized Health Care Education/Training Program
1455 DIXON AVE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500

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 Gary Russell's NPI number?

The NPI number for Gary Russell is 1811478498. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Gary Russell located?

Gary Russell practices at 1455 Dixon Ave, Lafayette, CO 80026. The listed phone number is (720) 406-3604.

What is Gary Russell's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Gary Russell was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.