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AUSTIN TYLER RUSSOW
NPI 1235089392
Peer Specialist in Edmond, OK

Active since January 29, 2026
152 BURTON PL, EDMOND, OK 73013(417) 356-5761 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Austin Tyler Russow NPPES

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

AUSTIN TYLER RUSSOW (NPI 1235089392) is an individual peer specialist in Edmond, Oklahoma and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1235089392
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameAUSTIN TYLER RUSSOW
Location Address152 BURTON PLEdmond, OK 73013-4408
Mailing Address152 Burton PlEdmond, OK 73013-4408 · (417) 356-5761
Phone(417) 356-5761
Sole ProprietorYes
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1235089392 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.
152 BURTON PL, Edmond, OK 73013
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Other Providers at the Same Location NPPES

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

KELSEY C PENNELL
Peer Specialist
152 BURTON PL
EDMOND, OK 73013
Oklahoma County (417) 793-3774

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 Austin Russow's NPI number?

The NPI number for Austin Russow is 1235089392. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Austin Russow located?

Austin Russow practices at 152 Burton Pl, Edmond, OK 73013. The listed phone number is (417) 356-5761.

What is Austin Russow'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 Austin Russow was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.