Stephanie Russell, LCPC, LCAC, NCC, CCT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2680 Issued in KS

Practice address

809 Elmhurst Blvd
Salina, KS 67401-7405

Phone

(785) 823-6322

Fax

(785) 823-3109

NPI assigned

Jan 23, 2013

Last updated

Apr 3, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Kansas Mental Health CenterGroup PAC ID 7315921434, 17 clinicians

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.

• Central Kansas Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salina, KS
  • NPI 1467491340
  Medicare reassignment Care Compare group NPD
• Sandstone Bridge Center, LLC

  • Marriage & Family Therapist
  • Salina, KS
  • NPI 1982901724

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1912245168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-823-6322",
            "fax_number": "785-823-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017405",
            "telephone_number": "785-823-6322",
            "fax_number": "785-823-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "STEPHANIE",
        "credential": "LCPC, LCAC, NCC, CCT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "008",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004309210001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Rowson, PTA
• Travis Rump I, DO
• Abbey E Rupe, M.D.
• Christopher Alan Rupe, MD
• Janet Russell, LSCSW
• Ryan Chiropractic Clinic PA
• Jeremy Blair Ryan, D.C.
• Mercedes Ryan, M.D.
• Sibiya Sabu, PA-S
• Lisa Sack, LMFT

• Professional Counselor in Salina, KS
• Providers in Salina, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.