IndividualActive
Jeremy Russell
NPI 1407639404 · Mental Health Counselor · Danielson, CT
Jeremy Russell is a Mental Health Counselor provider in Danielson, CT (NPI 1407639404).
Provider details
- NPI number
- 1407639404
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
71 Westcott Rd
Danielson, CT 06239-2929
Phone: (860) 731-5522
Fax: (860) 731-5536
Street-level locationGet directions
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Registry dates
- Enumerated
- 2023-08-15
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Frequently asked questions
- What is Jeremy Russell's NPI number?
- Jeremy Russell's National Provider Identifier (NPI) is 1407639404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Russell's specialty?
- Jeremy Russell is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jeremy Russell located?
- Jeremy Russell's practice location on file with NPPES is 71 Westcott Rd, Danielson, CT 06239-2929.
- What is Jeremy Russell's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Russell is (860) 731-5522.
- Is Jeremy Russell's NPI active?
- Yes — Jeremy Russell's NPI (1407639404) is active in the NPPES registry as of the last update on 2023-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.