Gary Russell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

83300 Issued in TX

Practice address

11777 Katy Fwy Ste 350
Houston, TX 77079-1721

Phone

(713) 365-0700

Fax

(713) 827-1080

NPI assigned

Jan 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Innova Mind and Body

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
  • NPI 1649959818

  Single Specialty

  NPD
• Renewing Hope Counseling, LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1700110871
  NPD

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1770123457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791721",
            "telephone_number": "713-365-0700",
            "fax_number": "713-827-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791721",
            "telephone_number": "713-365-0700",
            "fax_number": "713-827-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD OF EXAMNERS OF PROFESSIONAL COUNSELORS",
            "identifier": "83300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Russell, RSA
• Christian Kiernan Russell, PHARMD.
• Conor R Russell, M.D.
• Eric Russell, M.D.
• Frances Russell, LPC, LMFT, RPT-S
• Heidi Russell, MD
• Ioulia Russell
• Jasmine S Russell
• Jeanne M Russell, PA
• Jonathan R. Russell, M.D.

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.