Meagan A Russell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2025-0116 Issued in NM

Practice address

321 Commerce Way
Clovis, NM 88101-4750

Phone

(575) 935-6262

NPI assigned

Jun 8, 2022

Last updated

Mar 10, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agape Counseling, LLC

  • Clinical Social Worker
  • Clovis, NM
  • NPI 1245955111
  Medicare reassignment
• Nurstead Consulting Services, LLC

  • Community/Behavioral Health Agency
  • Clovis, NM
  • NPI 1043921869
  NPD

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1629707393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 COMMERCE WAY",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014750",
            "telephone_number": "575-935-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 COMMERCE WAY",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014750",
            "telephone_number": "575-935-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MEAGAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2025-0116",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Roybal
• Royce E. Jones & John D. Caley PTR (CLOVIS ANESTHESIA and ASSOCIATES)
• Ashlynn Lee Ruesch, CCC-SLP
• Danielle D Ruiz
• Eulalia Veronica Ruiz, PROVISIONAL LMHC
• Raesha Russell
• Amy Lynn Rutherford, PTA
• Nicole Ryan
• Ann Parker Rydman
• Catalina Saenz

• Mental Health Counselor in Clovis, NM
• Providers in Clovis, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.