JENNIFER RUSSELL PH.D.
NPI 1114347846
Psychologist - Clinical in Shreveport, LA

Q: What is Jennifer Russell's NPI number?

The NPI number for Jennifer Russell is 1114347846. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Q: What is Jennifer Russell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Russell was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment

3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105(318) 425-2000(318) 424-2601 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2020, Feb 15, 2019, Mar 17, 2018 (3 updates tracked since 2018).

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About Jennifer Russell Ph.d. NPPES

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

JENNIFER RUSSELL PH.D. (NPI 1114347846) is an individual clinical provider in Shreveport, Louisiana, licensed in Louisiana (1399) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1114347846

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJENNIFER RUSSELLCredential: PH.D.

Location Address3341 YOUREE DR STE 20AShreveport, LA 71105-2149

Mailing Address3341 Youree Dr Ste 20aShreveport, LA 71105-2149 · (318) 425-2000 · Fax (318) 424-2601

Phone(318) 425-2000

Fax(318) 424-2601

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 21, 2014

Last NPPES UpdateJanuary 8, 20203 updates tracked since enumeration

✔ NPI 1114347846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in LA · 1399

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 35083 (TX)

3341 YOUREE DR STE 20A, Shreveport, LA 71105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Jennifer Russell Ph.d. 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 ID1951626035

PECOS Enrollment IDI20170728000500

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.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$164.73 typical visit price

range $53.43 – $164.73

Typical copayment $41.18 (range $13.35 – $41.18)

Most-billed visit code 99205

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

DR. BRUCE K MCCORMICK PHD

Psychologist (Prescribing (Medical))