Individual provider Active NPI

Russell Yost, LMFT

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1861480659
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0131 Issued in AZ
Practice address
904 E Medlock Dr
Phoenix, AZ 85014-3214
Phone
(623) 349-1257
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT0388 AZ
Professional Counselor 101YP2500X LPC0131 AZ Primary

Addresses

Primary practice location

904 E Medlock Dr
Phoenix, AZ 85014-3214

Mailing address

904 E Medlock Dr
Phoenix, AZ 85014-3214
Phone (623) 349-1257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20250331001821 AZ Practitioner - Mental Health Counselor 2860915816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

2550 W Union Hills Dr
Phoenix, AZ 85027-5163
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0131AZMDProfessional Counselor
LMFT0388AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Jan 20, 2025 Accepting new patients
Christian Family Care Agency, Inc. Past Accepting new patients
Christian Family Care Past Accepting new patients
Doorways, LLC Past Accepting new patients

Locations

2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1861480659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E MEDLOCK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143214",
            "telephone_number": "623-349-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E MEDLOCK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143214",
            "telephone_number": "623-349-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOST",
        "first_name": "RUSSELL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT0388",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC0131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.