MRS. CHRISTINA LOUISE RUSSELL LPC
NPI 1205856283
Counselor - Professional in San Antonio, TX

Active since July 20, 2006Opted out of Medicare · through Jan 16, 2028
10615 PERRIN BEITEL RD, SUITE 207, SAN ANTONIO, TX 78217(210) 490-9106 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Christina Louise Russell Lpc NPPES

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

MRS. CHRISTINA LOUISE RUSSELL LPC (NPI 1205856283) is an individual professional provider in San Antonio, Texas, licensed in Texas (17708) and active in the NPI registry since July 2006. She has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1205856283
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. CHRISTINA LOUISE RUSSELLCredential: LPC
Location Address10615 PERRIN BEITEL RD, SUITE 207San Antonio, TX 78217-3138
Mailing Address10615 Perrin Beitel Rd, Suite 207San Antonio, TX 78217-3138 · (210) 490-9106
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 21, 2008
NPI 1205856283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 17708
10615 PERRIN BEITEL RD, San Antonio, TX 78217

Other Identifiers 2

Other84990LBcbs
Other205127458Ein

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Christina Louise Russell Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 16, 2024 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2024
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

Dentist
10615 PERRIN BEITEL RD, STE. 103
SAN ANTONIO, TX 78217
Counselor (Professional)
10615 PERRIN BEITEL RD, SUITE 304
SAN ANTONIO, TX 78217
Behavior Analyst
10615 PERRIN BEITEL RD, SUITE #801
SAN ANTONIO, TX 78217
Counselor (Mental Health)
10615 PERRIN BEITEL RD, 702
SAN ANTONIO, TX 78217
Psychologist
10615 PERRIN BEITEL RD, 702
SAN ANTONIO, TX 78217
Social Worker (Clinical)
10615 PERRIN BEITEL RD, 702
SAN ANTONIO, TX 78217
Social Worker (Clinical)
10615 PERRIN BEITEL RD, SUITE 702
SAN ANTONIO, TX 78217
Counselor (Professional)
10615 PERRIN BEITEL RD, STE 207
SAN ANTONIO, TX 78217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205856283, enumerated as an "individual" on July 20, 2006.

The provider is located at 10615 PERRIN BEITEL RD SUITE 207 SAN ANTONIO, TX 78217 and the phone number is (210) 490-9106.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.