Individual provider Active NPI

Jennifer Leigh Russell, LPC

  • Professional Counselor
  • Kaufman, TX
National Provider Identifier
1144940867
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84683 Issued in TX
Practice address
506 Washington Street
Kaufman, TX 75142
Phone
(972) 932-8898
Fax
(972) 932-8890
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 84683 TX Primary

Addresses

Primary practice location

506 Washington Street
Kaufman, TX 75142

Mailing address

2132 Bent TRL
Kaufman, TX 75142-5381
Phone (469) 474-9077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251107003655 TX Practitioner - Mental Health Counselor 3577053420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Texas a & M University System, HSC, College of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8111 Lyndon B Johnson Fwy
Suite 900
Dallas, TX 75251

8111 Lyndon B Johnson Fwy
Suite 900
Dallas, TX 75251-1322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84683TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Behavioral Health Authority Professional CurrentSince Aug 11, 2025 Accepting new patients
North Texas Behavioral Health Authority Mental Health PastSince Apr 24, 2022 Accepting new patients

Locations

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

3001 Al Lipscomb Way
Dallas, TX 75215
Phone (214) 366-9407

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1144940867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 BENT TRL",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751425381",
            "telephone_number": "469-474-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 WASHINGTON STREET",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "75142",
            "telephone_number": "972-932-8898",
            "fax_number": "972-932-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

Verify at the official NPI Registry.