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DR. JIM RUSSELL PH.D.
NPI 1275711459
Counselor in Saint Louis, MO

Active since February 10, 2008
777 CRAIG RD STE 200, SAINT LOUIS, MO 63141(314) 963-8862(314) 918-8943 Get Directions Write a Review

NPPES record last updated: October 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jim Russell Ph.d. NPPES

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

DR. JIM RUSSELL PH.D. (NPI 1275711459) is an individual counselor in Saint Louis, Missouri, licensed in Missouri (001736) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1275711459
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDR. JIM RUSSELLCredential: PH.D.
Location Address777 CRAIG RD STE 200Saint Louis, MO 63141-7190
Mailing Address777 Craig Rd Ste 200Saint Louis, MO 63141-7190 · (314) 963-8862 · Fax (314) 918-8943
Phone(314) 963-8862
Fax(314) 918-8943
Sole ProprietorYes
Enumeration DateFebruary 10, 2008
Last NPPES UpdateOctober 22, 2016
✔ NPI 1275711459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MO · 001736
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
777 CRAIG RD STE 200, Saint Louis, MO 63141
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Other Providers at the Same Location NPPES 4

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

CLINICAL RESEARCH ASSOCIATES, PC
Psychiatry & Neurology (Psychiatry)
777 CRAIG RD STE 200
SAINT LOUIS, MO 63141
St. Louis County (314) 549-8494
SHELLEY WOLFMEYER LPC
Counselor (Professional)
777 CRAIG RD STE 200
CREVE COEUR, MO 63141
St. Louis County (314) 207-9502
CLINICAL MEDICAL SERVICES LLC
Internal Medicine
777 CRAIG RD STE 200
SAINT LOUIS, MO 63141
St. Louis County (314) 773-1822
MR. JEFFERY SCOTT DAVIS APN RN
Nurse Practitioner (Psychiatric/Mental Health)
777 CRAIG RD STE 200
CREVE COEUR, MO 63141
St. Louis County (314) 776-7999

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 Jim Russell's NPI number?

The NPI number for Jim Russell is 1275711459. It was assigned to this individual provider in the NPPES registry on February 10, 2008.

Where is Jim Russell located?

Jim Russell practices at 777 Craig Rd Ste 200, Saint Louis, MO 63141. The listed phone number is (314) 963-8862.

What is Jim Russell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jim Russell was last updated on October 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.