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TOMMY RUSSELL LPC
NPI 1265242259
Counselor - Professional in Fredericksburg, TX

Active since January 10, 2025PECOS Enrolled
103 INDUSTRIAL LOOP STE 900, FREDERICKSBURG, TX 78624(803) 998-8710 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 2, 2026, Jan 10, 2025 (2 updates tracked since 2025).

About Tommy Russell Lpc NPPES

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

TOMMY RUSSELL LPC (NPI 1265242259) is an individual professional provider in Fredericksburg, Texas, licensed in Texas (96618) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265242259
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTOMMY RUSSELLCredential: LPC
Location Address103 INDUSTRIAL LOOP STE 900Fredericksburg, TX 78624-5463
Mailing Address103 Industrial Loop Ste 900Fredericksburg, TX 78624-5463 · (803) 998-8710
Phone(803) 998-8710
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 10, 2025
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1265242259 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 TX · 96618
Also ListedCounselor · PastoralTaxonomy 101YP1600X
103 INDUSTRIAL LOOP STE 900, Fredericksburg, TX 78624
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tommy Russell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052883360
PECOS Enrollment IDI20260617004729
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Tommy Russell's NPI number?

The NPI number for Tommy Russell is 1265242259. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Where is Tommy Russell located?

Tommy Russell practices at 103 Industrial Loop Ste 900, Fredericksburg, TX 78624. The listed phone number is (803) 998-8710.

What is Tommy Russell's specialty?

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

Is Tommy Russell enrolled in Medicare?

Yes. Tommy Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tommy Russell was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.