Individual provider Active NPI

Joycelyn Russell, LPC

  • Professional Counselor
  • Humble, TX
National Provider Identifier
1750533279
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
58938 Issued in TX
Practice address
514 1St St E
Humble, TX 77338-4605
Phone
(281) 660-1170
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 58938 TX
Professional Counselor 101YP2500X 58938 TX Primary

Addresses

Primary practice location

514 1St St E
Humble, TX 77338-4605

Mailing address

15523 Downford Dr
Tomball, TX 77377-8680
Phone (281) 660-1170

Other practice location 1

15523 Downford Dr
Tomball, TX 77377-8680
Phone (281) 660-1170

Other names 1

  • Ms. Joycelyn Pollard Professional name

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

State licenses

LicenseStateTypeSpecialty
58938TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1750533279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15523 DOWNFORD DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778680",
            "telephone_number": "281-660-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 1ST ST E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384605",
            "telephone_number": "281-660-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15523 Downford Dr",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773778680",
            "country_code": "US",
            "telephone_number": "281-660-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOYCELYN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "58938",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "58938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCELYN",
            "last_name": "POLLARD",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.