Bethany R Russell, PH.D., L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22245 Issued in FL

Practice address

44177 Kelly Dr
Babcock Ranch, FL 33982-5372

Phone

(239) 427-1635

NPI assigned

Jan 1, 2024

Last updated

Jul 12, 2026By the provider in NPPES

Sex

Female

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

Enrolled in FL

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Bethany R. Russell, PH.D., P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Babcock Ranch, FL
  • NPI 1306798046
  NPD Authorized official

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1336918325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44177 KELLY DR",
            "city": "BABCOCK RANCH",
            "state": "FL",
            "postal_code": "339825372",
            "telephone_number": "239-427-1635",
            "fax_number": "717-789-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44177 KELLY DR",
            "city": "BABCOCK RANCH",
            "state": "FL",
            "postal_code": "339825372",
            "telephone_number": "239-427-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BETHANY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad A Luke, LMT, CMLT
• Northeast Ga Midlevel Services
• Melanie Nuthals, DC
• Publix Super Markets, Inc.
• Brandy Kay Romero Nunez Perez, RCSWI

• Mental Health Counselor in Babcock Ranch, FL
• Providers in Babcock Ranch, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.