Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659495190 Individual Practitioner Male Practitioner

Michael Corey Russell

Counselor • Davis, CA

Professional Overview & Biography Verified Profile Summary

Michael Russell is a registered healthcare professional specializing in Counselor in Davis, CA. Practice services are available at 2100 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2100 5th St

Davis, CA 956166591

Telephone 5307473372
Fax 5307530398

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Davis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Davis, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Judy Moore

Marriage & Family Therapist

NPI 1043526171
Bonita Poe

Counselor

NPI 1205009727
James Diel , MED

Marriage & Family Therapist

NPI 1215097241

Master of Education

Adlisha Payne

Counselor

NPI 1215243936
NPI 1225163074
NPI 1245339258

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2100 5TH ST, DAVIS, CA 956166591 (Tel: 5307473372)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2100 5TH ST, DAVIS, CA 956166591 (Tel: 5307473372)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL RUSSELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659495190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2100 5th St

Davis, CA 956166591

Phone: 5307473372

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.