Individual provider Active NPI

Russ W Arendell, M. ED, LPC

  • Professional Counselor
  • Lubbock, TX
National Provider Identifier
1558486704
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16098 Issued in TX
Practice address
1715 29TH St
Lubbock, TX 79411-1513
Phone
(806) 438-8687
NPI assigned
Mar 20, 2007
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16098 TX Primary

Addresses

Primary practice location

1715 29TH St
Lubbock, TX 79411-1513

Mailing address

1715 29TH St
Lubbock, TX 79411-1513
Phone (806) 438-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240327000335 TX Practitioner - Mental Health Counselor 8527405448 Practice locations: Lubbock, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Lubbock, TX 79411
Phone (806) 438-8687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1558486704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 29TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794111513",
            "telephone_number": "806-438-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 29TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794111513",
            "telephone_number": "806-438-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENDELL",
        "first_name": "RUSS",
        "middle_name": "W",
        "credential": "M. ED, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.