Active NPI
Jodie L Russell, LPC
- Professional Counselor
- Morgantown, WV
National Provider Identifier
1568673374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2074
- Practice address
- 868 Tremont St
Morgantown, WV 26505-2566 - Phone
- (304) 435-3498
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2074 | WV | Primary |
Addresses
Primary practice location
868 Tremont St
Morgantown, WV 26505-2566
Mailing address
868 Tremont St
Morgantown, WV 26505-2566
Phone (304) 435-3498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1568673374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 TREMONT ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052566",
"telephone_number": "304-435-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 TREMONT ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052566",
"telephone_number": "304-435-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JODIE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.