MR. JACOB G RUSSELL LAC
NPI 1184799876
Counselor - Professional in Melbourne, AR

Active since November 21, 2006
104 CONNIEBROOK LN, MELBOURNE, AR 72556(870) 258-3305(870) 258-3244 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jacob G Russell Lac NPPES

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

MR. JACOB G RUSSELL LAC (NPI 1184799876) is an individual professional provider in Melbourne, Arkansas, licensed in Arkansas (A1101009) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1184799876
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JACOB G RUSSELLCredential: LAC
Location Address104 CONNIEBROOK LNMelbourne, AR 72556-8861
Mailing AddressPo Box 97Oxford, AR 72565-0097 · (870) 258-3305 · Fax (870) 258-3244
Fax(870) 258-3244
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateJanuary 20, 2011
NPI 1184799876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · A1101009
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
104 CONNIEBROOK LN, Melbourne, AR 72556

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
104 CONNIEBROOK LN
MELBOURNE, AR 72556
Case Manager/Care Coordinator
104 CONNIEBROOK LN
MELBOURNE, AR 72556
Case Manager/Care Coordinator
104 CONNIEBROOK LN
MELBOURNE, AR 72556
Case Manager/Care Coordinator
104 CONNIEBROOK LN
MELBOURNE, AR 72556
Case Manager/Care Coordinator
104 CONNIEBROOK LN
MELBOURNE, AR 72556
Case Manager/Care Coordinator
104 CONNIEBROOK LN
MELBOURNE, AR 72556
Case Manager/Care Coordinator
104 CONNIEBROOK LN
MELBOURNE, AR 72556
Case Manager/Care Coordinator
104 CONNIEBROOK LN
MELBOURNE, AR 72556

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 Jacob Russell's NPI number?

The NPI number for Jacob Russell is 1184799876. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Jacob Russell located?

Jacob Russell practices at 104 Conniebrook Ln, Melbourne, AR 72556. The listed phone number is (870) 258-3305.

What is Jacob Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacob Russell was last updated on January 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.