Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Asa Nathanael Russell

Individual provider Mental Health Counselor · NPI 1104247147

Asa Nathanael Russell is a Mental Health Counselor in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Maine and Nebraska.

Licensed in
ME, NE
In the registry since
2013
Specialties on file
2

Practice location Address checks out

4031 Burt St
Omaha, NE 68131-1837
Phone: (402) 800-5702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13264 (NE)
Mental Health Counselor Taxonomy 101YM0800X · Licence XL3998 (ME)

Record details

NPI number1104247147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 18, 2013
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

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