Christina Louise Russell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17708 Issued in TX

Practice address

10615 Perrin Beitel Rd
Suite 207
San Antonio, TX 78217-3138

Phone

(210) 490-9106

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 16, 2024 through Jan 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling Center for Living Well, PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1861639577
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1205856283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD",
            "address_2": "SUITE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173138",
            "telephone_number": "210-490-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD",
            "address_2": "SUITE 207",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173138",
            "telephone_number": "210-490-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CHRISTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84990L",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna M Russell, DO
• Ashley Rene Russell, CNIM
• Charles Mark Russell, PA
• Charly Ann Russell, BT
• Christina L Russell, PA
• Delisa Duncan Russell, LPC-S
• Douglas Russell, DO
• Edward L. Russell, PA
• Kathryn Russell, PA-C
• Lauren Russell

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.