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

Michael Cody Russell

Individual provider Counselor · NPI 1174164222

Michael Cody Russell is a Counselor in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

155 Bimini Pl
Los Angeles, CA 90004-5902
Phone: (213) 388-5423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X · Licence 7478 (CA)

Record details

NPI number1174164222
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 30, 2019
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

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