Individual provider Active NPI

Russell Dean Philpott, M. ED, LPC

  • Mental Health Counselor
  • Parkersburg, WV
National Provider Identifier
1053441725
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1598 Issued in WV
Practice address
225 College Pkwy Ste 101
Parkersburg, WV 26104-7616
Phone
(304) 485-3345
Fax
(304) 485-3345
NPI assigned
Mar 6, 2007
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1598 WV
Mental Health Counselor 101YM0800X 1598 WV Primary
Professional Counselor 101YP2500X 1598 WV

Addresses

Primary practice location

225 College Pkwy Ste 101
Parkersburg, WV 26104-7616

Mailing address

225 College Pkwy Ste 101
Parkersburg, WV 26104-7616
Phone (304) 485-3345

Other identifiers 1

IdentifierTypeStateIssuer
1598OtherWVWV LPC NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126003947 WV Practitioner - Mental Health Counselor 8729177217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Day Therapy LLCGroup PAC ID 2365783214, 4 clinicians

Practice addresses (Care Compare)

225 College Pkwy
Suite 101
Parkersburg, WV 26104-7616
Phone 30448533450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1598WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Therapy, LLC Mental Health CurrentSince Jan 9, 2019 Accepting new patients
Mental Health Balance & Development, LLC Mental Health PastSince Oct 28, 2017 Accepting new patients

Locations

225 College Pkwy
Ste 101
Parkersburg, WV 26104
Phone (304) 485-3345

1605 Grand Central Ave
Ste C
Vienna, WV 26105
Phone (304) 295-3345

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1053441725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COLLEGE PKWY STE 101",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047616",
            "telephone_number": "304-485-3345",
            "fax_number": "304-485-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COLLEGE PKWY STE 101",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047616",
            "telephone_number": "304-485-3345",
            "fax_number": "304-485-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILPOTT",
        "first_name": "RUSSELL",
        "middle_name": "DEAN",
        "credential": "M. ED, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-06-20",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "1598",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1598",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV LPC NUMBER",
            "identifier": "1598",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.