Active NPI
Marilynn Louise Russ, MS LMHC CERTIFIED SC
- Mental Health Counselor
- Ottumwa, IA
National Provider Identifier
1689734527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00453
- Practice address
- 1313 North CT Ste 103
Ottumwa, IA 52501-1916 - Phone
- (641) 777-1771
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 00453 | IA | Primary |
Addresses
Primary practice location
1313 North CT Ste 103
Ottumwa, IA 52501-1916
Mailing address
13792 85TH Ave
Ottumwa, IA 52501-9079
Phone (641) 777-1771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IP541044 | Medicaid | IA |
Other names 1
- Mrs. Marilynn Louise Russ
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1689734527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13792 85TH AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525019079",
"telephone_number": "641-777-1771",
"fax_number": "641-683-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 NORTH CT STE 103",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525011916",
"telephone_number": "641-777-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "MARILYNN",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "MS LMHC CERTIFIED SC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "00453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IP541044",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYNN",
"last_name": "RUSS",
"middle_name": "LOUISE",
"prefix": "MRS.",
"credential": "MS LMHC CERTIFIED SC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.