1. Home
  2. Directory
  3. Kentucky
  4. Louisa
  5. Peer Specialist
  6. NPI Profile

KENNETH RAY RUSSELL
NPI 1053067074
Peer Specialist in Louisa, KY

Active since February 28, 2022
125 S MAIN CROSS ST STE 202, LOUISA, KY 41230(606) 638-0938 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Ray Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH RAY RUSSELL (NPI 1053067074) is an individual peer specialist in Louisa, Kentucky and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1053067074
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENNETH RAY RUSSELL
Location Address125 S MAIN CROSS ST STE 202Louisa, KY 41230-1065
Mailing Address125 S Main Cross St Ste 202Louisa, KY 41230-1065 · (606) 638-0938
Phone(606) 638-0938
Sole ProprietorYes
Enumeration DateFebruary 28, 2022
NPPES CertifiedFebruary 28, 2022
✔ NPI 1053067074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
125 S MAIN CROSS ST STE 202, Louisa, KY 41230
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA MAE MATTINGLY PSS
Peer Specialist
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230
Lawrence County (606) 638-0938
BRANDI DAWN MARSHALL
Counselor (Professional)
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230
Lawrence County (606) 638-0938
VICKIE FIGHTMASTER PSS
Peer Specialist
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230
Lawrence County (606) 638-0938
REGINA BACK
Counselor (Professional)
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230
Lawrence County (606) 638-0938
LAKEISHA MASHAE JACOBS ALICH
Counselor (Professional)
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230
Lawrence County (606) 638-0938
ALISHA FUENTES
Peer Specialist
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230
Lawrence County (606) 638-0938

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Russell's NPI number?

The NPI number for Kenneth Russell is 1053067074. It was assigned to this individual provider in the NPPES registry on February 28, 2022.

Where is Kenneth Russell located?

Kenneth Russell practices at 125 S Main Cross St Ste 202, Louisa, KY 41230. The listed phone number is (606) 638-0938.

What is Kenneth Russell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Russell was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.