| Brandy R Russell, MS, LPCC | |
|
10552 Success Ln Ste G, Dayton, OH 45458-3653 | |
| (937) 204-3647 | |
| (937) 791-6686 |
| Full Name | Brandy R Russell |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 10552 Success Ln Ste G, Dayton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154644474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.0701142 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 1295 |
| J Kilby Enterprises Inc | 7214302223 | 8 |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Entity Name | J Kilby Enterprises Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316652894 PECOS PAC ID: 7214302223 Enrollment ID: O20230405000678 |
| Entity Name | Ever Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639013774 PECOS PAC ID: 6507335973 Enrollment ID: O20260514002615 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy R Russell, MS, LPCC 2707 Allister Cir, Miamisburg, OH 45342-5859 Ph: (937) 204-3647 | Brandy R Russell, MS, LPCC 10552 Success Ln Ste G, Dayton, OH 45458-3653 Ph: (937) 204-3647 |
Jane M Winch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, Fourth Floor Nw Building, Dayton, OH 45408 Phone: 937-276-8333 Fax: 937-276-8339 |
Mrs. Darcie Rupert Clark, MS, LPCC, LCDCIII Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 W Monument Ave Ste 100, Dayton, OH 45402 Phone: 937-679-6301 Fax: 937-630-4391 |
Amy Michelle Monteith, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7660 Stanley Mill Dr, Dayton, OH 45459 Phone: 937-475-4097 |
Ashley H Hicks, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 S Edwin C Moses Blvd, 4th Floor, Nw Bldg., Dayton, OH 45417 Phone: 937-734-8333 Fax: 937-276-8269 |
Shea Kvachuk, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Wilmington Ave, Dayton, OH 45420 Phone: 937-253-0606 |
Quanice Locke, LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 4977 Northcutt Pl, Dayton, OH 45414 Phone: 937-450-7790 |
Sarah Byram, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 601 S Edwin C Moses Blvd, 4th Floor Nw Building, Dayton, OH 45417 Phone: 937-734-8333 |