Russell Prause, MS, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-20565 Issued in AZ

Practice address

14800 W Mountain View Blvd Ste 210
Surprise, AZ 85374-2703

Phone

(623) 888-4310

NPI assigned

Aug 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Phoenixhealthllc

  • Counselor
  • Bentonville, AR
  • NPI 1821957374
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1417560806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW MCNELLY RD STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129160",
            "telephone_number": "623-888-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 210",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742703",
            "telephone_number": "623-888-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17431 N 71st Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088598",
            "country_code": "US",
            "telephone_number": "602-633-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 South St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726534452",
            "country_code": "US",
            "telephone_number": "479-877-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAUSE",
        "first_name": "RUSSELL",
        "credential": "MS, LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "20565",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2501015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.