Daniel Ray Russell, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1575 Issued in MS

Practice address

519 Dr Martin Luther King Jr Dr W
Starkville, MS 39759-2816

Phone

(662) 323-5588

Fax

(662) 323-5588

NPI assigned

Mar 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 2, 2024 through Apr 2, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Starkville Counseling Associates, LLC

  • Professional Counselor
  • Starkville, MS
  • NPI 1558529289
  NPD (past)

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1326288440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 DR MARTIN LUTHER KING JR DR W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592816",
            "telephone_number": "662-323-5588",
            "fax_number": "662-323-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 DR MARTIN LUTHER KING JR DR W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592816",
            "telephone_number": "662-323-5588",
            "fax_number": "662-323-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terresa Ross, M.S., CCC-SLP
• Rrti Holding LLC
• Paul Leon Ruff, MD
• David Michael Ruffin, ATC
• Andrew D Ruhl, CRNA
• Jenna Russo
• Amber Rutherford
• Meghan Rutherford, PHARMD
• RXS Starkville LLC
• Ahmed Saifeldin

• Professional Counselor in Starkville, MS
• Providers in Starkville, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.