AMANDA LEIGH RUSSELL LPC-MHSP
NPI 1235745316
Counselor - Professional in Memphis, TN

Active since September 23, 2020Opted out of Medicare · through Jan 1, 2028
2180 UNION AVE, MEMPHIS, TN 38104(901) 276-2200 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Leigh Russell Lpc-mhsp NPPES

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

AMANDA LEIGH RUSSELL LPC-MHSP (NPI 1235745316) is an individual professional provider in Memphis, Tennessee, licensed in Tennessee (3202) and active in the NPI registry since September 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1235745316
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA LEIGH RUSSELLCredential: LPC-MHSP
Location Address2180 UNION AVEMemphis, TN 38104-4205
Mailing Address4561 Amboy RdMemphis, TN 38117-6101 · (901) 335-9782
Sole ProprietorNo
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
NPI 1235745316 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 TN · 3202
2180 UNION AVE, Memphis, TN 38104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Amanda Leigh Russell Lpc-mhsp 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
2180 UNION AVE
MEMPHIS, TN 38104
Social Worker (Clinical)
2180 UNION AVE
MEMPHIS, TN 38104
Counselor (Mental Health)
2180 UNION AVE
MEMPHIS, TN 38104
Counselor (Mental Health)
2180 UNION AVE
MEMPHIS, TN 38104
Counselor (Mental Health)
2180 UNION AVE
MEMPHIS, TN 38104
Counselor (Mental Health)
2180 UNION AVE
MEMPHIS, TN 38104
Counselor (Mental Health)
2180 UNION AVE
MEMPHIS, TN 38104
Counselor (Professional)
2180 UNION AVE
MEMPHIS, TN 38104

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 Amanda Russell's NPI number?

The NPI number for Amanda Russell is 1235745316. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Amanda Russell located?

Amanda Russell practices at 2180 Union Ave, Memphis, TN 38104. The listed phone number is (901) 276-2200.

What is Amanda Russell's specialty?

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

Is Amanda Russell enrolled in Medicare?

No. Amanda Russell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Russell was last updated on September 23, 2020. 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.