BLAKE RUSSELL
NPI 1235728585
Counselor - Professional in Saint Louis, MO

Active since January 12, 2021
9666 OLIVE BLVD STE 400, SAINT LOUIS, MO 63132(314) 252-0671 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake Russell NPPES

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

BLAKE RUSSELL (NPI 1235728585) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2018043939) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1235728585
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBLAKE RUSSELL
Location Address9666 OLIVE BLVD STE 400Saint Louis, MO 63132-3025
Mailing Address3956 Tholozan AveSaint Louis, MO 63116-3633 · (573) 645-0396
Sole ProprietorNo
Enumeration DateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
NPI 1235728585 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 MO · 2018043939
9666 OLIVE BLVD STE 400, Saint Louis, MO 63132

Other Providers at the Same Location NPPES 8

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

Social Worker
9666 OLIVE BLVD STE 400
SAINT LOUIS, MO 63132
Counselor (Professional)
9666 OLIVE BLVD STE 400
SAINT LOUIS, MO 63132
Counselor (Mental Health)
9666 OLIVE BLVD STE 400
SAINT LOUIS, MO 63132
Social Worker (Clinical)
9666 OLIVE BLVD STE 400
SAINT LOUIS, MO 63132
Social Worker (Clinical)
9666 OLIVE BLVD STE 400
SAINT LOUIS, MO 63132
Marriage & Family Therapist
9666 OLIVE BLVD STE 400
SAINT LOUIS, MO 63132
Social Worker (Clinical)
9666 OLIVE BLVD STE 400
SAINT LOUIS, MO 63132
Social Worker (Clinical)
9666 OLIVE BLVD STE 400
SAINT LOUIS, MO 63132

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 Blake Russell's NPI number?

The NPI number for Blake Russell is 1235728585. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Blake Russell located?

Blake Russell practices at 9666 Olive Blvd Ste 400, Saint Louis, MO 63132. The listed phone number is (314) 252-0671.

What is Blake 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 Blake Russell was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.