DR. LESLIE ANN RUSSELL-MARTIN M.S. LMFT PH.D. LP
NPI 1073603163
Clinical Neuropsychologist in Little Falls, MN

Q: What is Leslie Russell-martin's NPI number?

The NPI number for Leslie Russell-martin is 1073603163. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Leslie Russell-martin's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment

16016 233RD ST, LITTLE FALLS, MN 56345(320) 632-5524(888) 991-2741 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2023, Oct 29, 2019 (2 updates tracked since 2019).

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About Dr. Leslie Ann Russell-martin M.s. Lmft Ph.d. Lp NPPES

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

DR. LESLIE ANN RUSSELL-MARTIN M.S. LMFT PH.D. LP (NPI 1073603163) is an individual clinical neuropsychologist in Little Falls, Minnesota, licensed in Minnesota (LP4924) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1073603163

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. LESLIE ANN RUSSELL-MARTINCredential: M.S. LMFT PH.D. LP

Location Address16016 233RD STLittle Falls, MN 56345-5583

Mailing Address15920 233rd StLittle Falls, MN 56345-5592 · (320) 632-5524 · Fax (888) 991-2741

Phone(320) 632-5524

Fax(888) 991-2741

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateOctober 13, 2006

Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1073603163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MN · LP4924

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License LP4924 (MN)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MN #1351 (MN)

16016 233RD ST, Little Falls, MN 56345

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Other Identifiers 2

Medicaid360040800MN

Other730T3RUMN · Bcbs Of Mn Provider Numbe

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leslie Ann Russell-martin M.s. Lmft Ph.d. Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597833517

PECOS Enrollment IDI20081003000678

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

141 services11 patients

Other Providers at the Same Location NPPES 10

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

MADELYN JEAN WALKER

Social Worker