Active NPI
Melodi Russell, LPC, NCC
- Professional Counselor
- Houston, TX
National Provider Identifier
1548104060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 90903
- Practice address
- 4201 FM 1960 Rd W Ste 235
Houston, TX 77068-3498 - Phone
- (832) 469-4955
- NPI assigned
- Apr 15, 2026
- Last updated
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 90903 | TX | Primary |
Addresses
Primary practice location
4201 FM 1960 Rd W Ste 235
Houston, TX 77068-3498
Mailing address
4201 FM 1960 Rd W Ste 235
Houston, TX 77068-3498
Phone (832) 469-4955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4201 FM 1960 Rd W
Suite 235
Houston, TX 77068-3498
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90903 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reset Universe LLC | Professional | Current | Accepting new patients |
Locations
4201 FM 1960 Rd W
Ste 235
Houston, TX 77068
Phone (832) 469-4955
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1548104060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 FM 1960 RD W STE 235",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770683498",
"telephone_number": "832-469-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 FM 1960 RD W STE 235",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770683498",
"telephone_number": "832-469-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "MELODI",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "90903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.