WILBURN RUSSELL JR. LPC
NPI 1336733971
Counselor - Professional in Springfield, MO

Active since February 24, 2021
636 W REPUBLIC RD STE G100, SPRINGFIELD, MO 65807(417) 862-8282(417) 862-8805 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilburn Russell Jr. Lpc NPPES

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

WILBURN RUSSELL JR. LPC (NPI 1336733971) is an individual professional provider in Springfield, Missouri, licensed in Missouri (001677) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1336733971
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWILBURN RUSSELL JR.Credential: LPC
Location Address636 W REPUBLIC RD STE G100Springfield, MO 65807-5811
Mailing Address636 W Republic Rd Ste G100Springfield, MO 65807-5811 · (417) 862-8282 · Fax (417) 862-8805
Fax(417) 862-8805
Sole ProprietorNo
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
NPI 1336733971 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 · 001677
636 W REPUBLIC RD STE G100, Springfield, MO 65807

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
636 W REPUBLIC RD STE G100
SPRINGFIELD, MO 65807
Counselor (Professional)
636 W REPUBLIC RD STE G100
SPRINGFIELD, MO 65807

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 Wilburn Russell's NPI number?

The NPI number for Wilburn Russell is 1336733971. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Wilburn Russell located?

Wilburn Russell practices at 636 W Republic Rd Ste G100, Springfield, MO 65807. The listed phone number is (417) 862-8282.

What is Wilburn Russell's specialty?

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

What insurance does Wilburn Russell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Wilburn Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilburn Russell was last updated on February 24, 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.