| James G Russell, LCPC | |
|
102 Robinson St, Danville, IL 61832-8515 | |
| (217) 443-1772 | |
| (217) 443-1701 |
| Full Name | James G Russell |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 30 Years |
| Location | 102 Robinson St, Danville, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699009498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.004885 (Illinois) | Primary |
| Entity Name | Two Roads Wellness Clinic, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417329426 PECOS PAC ID: 9638536220 Enrollment ID: O20230613003222 |
| Mailing Address | Practice Location Address |
|---|---|
| James G Russell, LCPC 102 Robinson St, Danville, IL 61832-8515 Ph: (217) 443-1772 | James G Russell, LCPC 102 Robinson St, Danville, IL 61832-8515 Ph: (217) 443-1772 |
Mrs. Jamie Renee Meagher, BS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460 |
Laura Green, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 103 E Liberty Ln, Danville, IL 61832 Phone: 309-704-0034 |
Dr. Melissa Horne, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St Bldg 103, Danville, IL 61832 Phone: 217-554-4851 |
Shakela Mcwaine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3545 N Vermilion St, Danville, IL 61832 Phone: 217-651-6801 Fax: 217-651-6802 |
Katherine Brewer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Danville, IL 61832 Phone: 217-504-0131 |
Mrs. Susan Perkins, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460 |
Madison Manint, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3545 N Vermilion St, Danville, IL 61832 Phone: 217-651-6801 |