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JENNIFER RUSSELL
NPI 1356061469
Peer Specialist in Holdenville, OK

Active since August 30, 2022
118 E MAIN ST, HOLDENVILLE, OK 74848(405) 379-5256 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Russell NPPES

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

JENNIFER RUSSELL (NPI 1356061469) is an individual peer specialist in Holdenville, Oklahoma and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1356061469
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJENNIFER RUSSELL
Location Address118 E MAIN STHoldenville, OK 74848-3208
Mailing Address404 Oklahoma AveWewoka, OK 74884-5088 · (405) 738-8336
Phone(405) 379-5256
Sole ProprietorNo
Enumeration DateAugust 30, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1356061469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
118 E MAIN ST, Holdenville, OK 74848
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Other Providers at the Same Location NPPES 6

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

ITHA JOYCE GRAY ICADC
Counselor (Addiction (Substance Use Disorder))
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5256
JERRY CONLEY II
Peer Specialist
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5381
OKLAHOMA FAMILIES FIRST INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 360-2133
SHELLEY BYRD
Peer Specialist
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5256
JACQUELINE RENEE CLARK BA, HRC
Counselor
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5256
ASHLEIGH LOUISE HALTERMAN
Case Manager/Care Coordinator
118 E MAIN ST
HOLDENVILLE, OK 74848
Hughes County (405) 379-5256

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 Jennifer Russell's NPI number?

The NPI number for Jennifer Russell is 1356061469. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Jennifer Russell located?

Jennifer Russell practices at 118 E Main St, Holdenville, OK 74848. The listed phone number is (405) 379-5256.

What is Jennifer Russell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Russell was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.