Individual Healthcare Provider
Marsha T Russell, CDCA
Provider's NPPES record last updated: September 27, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003302613
- Primary Specialty
- Counselor — Addiction (Substance Use Disorder)
- Practice Location
- Dayton, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:55 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400X Behavior Technician
Behavioral Health & Social Service Providers
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Taxonomy code 106S00000X
Provider-Reported License Information
- Counselor (Ohio)
- CDCA.173387
Practice Locations
Practice Location
4977 Northcutt Pl
Dayton, Ohio 45414-3839
Phone: (937) 387-6395
Record Information
- Enumeration Date
- July 6, 2018
- Provider's NPPES Record Last Updated
- September 27, 2021
- Certification Date
- September 27, 2021
- NPISignal NPPES Dataset
- August 2026
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