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NICOLE LEE RUSSELL MPA, CADC
NPI 1831981125
Counselor - Addiction (Substance Use Disorder) in Waterloo, IA

Active since May 21, 2025
405 E 5TH ST, WATERLOO, IA 50703(319) 239-4203 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Lee Russell Mpa, Cadc NPPES

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

NICOLE LEE RUSSELL MPA, CADC (NPI 1831981125) is an individual addiction (substance use disorder) provider in Waterloo, Iowa, licensed in Iowa (25054) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1831981125
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE LEE RUSSELLCredential: MPA, CADC
Location Address405 E 5TH STWaterloo, IA 50703-5705
Mailing Address1431 Ingersoll RdWaterloo, IA 50701-6047 · (319) 239-4203
Phone(319) 239-4203
Sole ProprietorNo
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1831981125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IA · 25054
405 E 5TH ST, Waterloo, IA 50703
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Other Providers at the Same Location NPPES 6

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

ROBERT ACKERMAN BSW, TCADC
Counselor (Addiction (Substance Use Disorder))
405 E 5TH ST
WATERLOO, IA 50703
Black Hawk County (833) 370-7019
ELEVATE HOUSING FOUNDATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
405 E 5TH ST
WATERLOO, IA 50703
Black Hawk County (833) 370-0719
PEYTON EMGARTEN CADC
Counselor (Addiction (Substance Use Disorder))
405 E 5TH ST
WATERLOO, IA 50703
Black Hawk County (833) 370-0719
JOAN M MISTER RN
Registered Nurse (Psychiatric/Mental Health)
405 E 5TH ST
WATERLOO, IA 50703
Black Hawk County (833) 370-0719
DIANE ROLF LMSW
Social Worker
405 E 5TH ST
WATERLOO, IA 50703
Black Hawk County (833) 370-0719
THOMAS KULLEN
Peer Specialist
405 E 5TH ST
WATERLOO, IA 50703
Black Hawk County (338) 370-0719

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 Nicole Russell's NPI number?

The NPI number for Nicole Russell is 1831981125. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Nicole Russell located?

Nicole Russell practices at 405 E 5th St, Waterloo, IA 50703. The listed phone number is (319) 239-4203.

What is Nicole 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 Nicole Russell was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.