MIRANDA C RUSSELL LMHSP, LPC
NPI 1346572591
Counselor - Mental Health in Bean Station, TN

Active since February 12, 2010PECOS EnrolledAccepts Medicare Assignment
105 ROWDY ROW, BEAN STATION, TN 37708(865) 767-3074(865) 767-3076 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miranda C Russell Lmhsp, Lpc NPPES

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

MIRANDA C RUSSELL LMHSP, LPC (NPI 1346572591) is an individual mental health provider in Bean Station, Tennessee, licensed in Tennessee (2347) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1346572591
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIRANDA C RUSSELLCredential: LMHSP, LPC
Location Address105 ROWDY ROWBean Station, TN 37708
Mailing Address438 Treadway CirThorn Hill, TN 37881-5039 · (423) 733-9359 · Fax (865) 767-3076
Fax(865) 767-3076
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 12, 2010
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1346572591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 2347
105 ROWDY ROW, Bean Station, TN 37708

Secondary Practice Locations 2

Location 1Hancock County Elementary School Based Health Center, 391 Court StreetSneedville, TN 37869-0723 · Phone (423) 733-2121 · Fax (423) 733-4563
Location 22700 Main StSneedville, TN 37869-3041 · Phone (423) 733-2819 · Fax (423) 733-8509

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miranda C Russell Lmhsp, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860924917
PECOS Enrollment IDI20241015001690
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.

Medicare Billing Reassignment

Medicare enrollment records show Miranda Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
391 COURT SQ
Sneedville, TN 37869
  • Reassigned Medicare billing, Tennessee enrollment
  • 45 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Miranda Russell's NPI number?

The NPI number for Miranda Russell is 1346572591. It was assigned to this individual provider in the NPPES registry on February 12, 2010.

Where is Miranda Russell located?

Miranda Russell practices at 105 Rowdy Row, Bean Station, TN 37708. The listed phone number is (865) 767-3074.

What is Miranda Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Miranda Russell enrolled in Medicare?

Yes. Miranda Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Miranda Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Russell reassigns Medicare benefits to East Tennessee State University (Sneedville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miranda Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miranda Russell accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Miranda 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 Miranda Russell was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.