Active NPI
Stillwell Russell Jr.
- Mental Health Counselor
- Metairie, LA
National Provider Identifier
1285199935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19969
- Practice address
- 4201 N I 10 Service Rd W
Metairie, LA 70006-6713 - Phone
- (855) 550-5308
- NPI assigned
- Feb 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | LA | ||
| Mental Health Counselor | 101YM0800X | 19969 | LA | Primary |
Addresses
Primary practice location
4201 N I 10 Service Rd W
Metairie, LA 70006-6713
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978
Other practice location 1
1608 S Salcedo St
New Orleans, LA 70125-2854
Phone (504) 821-0053
Other practice location 2
1608 S Salcedo St
New Orleans, LA 70125-2854
Phone (504) 821-0053
Other practice location 3
1202 Monroe St
Gretna, LA 70053-2307
Phone (504) 309-6798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Excel Care Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1205228335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1285199935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 FAIRWAY DR STE 101",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411834",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 N I 10 SERVICE RD W",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700066713",
"telephone_number": "855-550-5308"
}
],
"practiceLocations": [
{
"address_1": "1608 S Salcedo St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701252854",
"country_code": "US",
"telephone_number": "504-821-0053",
"fax_number": "504-821-0054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1608 S Salcedo St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701252854",
"country_code": "US",
"telephone_number": "504-821-0053",
"fax_number": "504-821-0054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1202 Monroe St",
"address_purpose": "LOCATION",
"city": "Gretna",
"state": "LA",
"postal_code": "700532307",
"country_code": "US",
"telephone_number": "504-309-6798",
"fax_number": "504-407-2115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "STILLWELL",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-06",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "19969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.