ALLYSA RUSSELL MA
NPI 1376324335
Psychologist in Knoxville, TN

Active since October 06, 2023PECOS Enrolled
2607 KINGSTON PIKE STE 250, KNOXVILLE, TN 37919(865) 264-2400(865) 588-6406 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2026, Jul 11, 2024, Oct 6, 2023 (3 updates tracked since 2023).

About Allysa Russell Ma NPPES

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

ALLYSA RUSSELL MA (NPI 1376324335) is an individual psychologist in Knoxville, Tennessee, licensed in Tennessee (4205) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376324335
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameALLYSA RUSSELLCredential: MA
Location Address2607 KINGSTON PIKE STE 250Knoxville, TN 37919-3331
Mailing Address2607 Kingston Pike Ste 250Knoxville, TN 37919-3331 · (865) 264-2400 · Fax (865) 588-6406
Fax(865) 588-6406
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2023
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1376324335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TN · 4205
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4205 (TN)
2607 KINGSTON PIKE STE 250, Knoxville, TN 37919

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID547728883
PECOS Enrollment IDI20260818001625
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 Allysa Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2607 KINGSTON PIKE STE 250
Knoxville, TN 37919
  • Reassigned Medicare billing, Tennessee enrollment
  • 26 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.

Other Providers at the Same Location NPPES 8

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

Psychologist (Clinical)
2607 KINGSTON PIKE STE 250
KNOXVILLE, TN 37919
Psychologist (Clinical)
2607 KINGSTON PIKE STE 250
KNOXVILLE, TN 37919
Marriage & Family Therapist
2607 KINGSTON PIKE STE 250
KNOXVILLE, TN 37919
Nurse Practitioner (Psychiatric/Mental Health)
2607 KINGSTON PIKE STE 250
KNOXVILLE, TN 37919
Psychologist (Clinical)
2607 KINGSTON PIKE STE 250
KNOXVILLE, TN 37919
Psychologist (Clinical)
2607 KINGSTON PIKE STE 250
KNOXVILLE, TN 37919
Nurse Practitioner (Psychiatric/Mental Health)
2607 KINGSTON PIKE STE 250
KNOXVILLE, TN 37919
Psychologist (Clinical)
2607 KINGSTON PIKE STE 250
KNOXVILLE, TN 37919

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 Allysa Russell's NPI number?

The NPI number for Allysa Russell is 1376324335. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Allysa Russell located?

Allysa Russell practices at 2607 Kingston Pike Ste 250, Knoxville, TN 37919. The listed phone number is (865) 264-2400.

What is Allysa Russell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Allysa Russell enrolled in Medicare?

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

Which organization bills Medicare for Allysa Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allysa Russell reassigns Medicare benefits to Behavioral Medicine Institute PC (Knoxville, 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 Allysa Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allysa Russell accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Allysa 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 Allysa Russell was last updated on August 24, 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.