Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. ILLYSSA MARIE RUSSELL LPCC-S
NPI 1376877407
Counselor - Mental Health in Williamsburg, KY

Q: What is Illyssa Russell's NPI number?

The NPI number for Illyssa Russell is 1376877407. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Q: What is Illyssa Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Illyssa Russell was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.

Active since September 22, 2009PECOS Enrolled

PO BOX 114, WILLIAMSBURG, KY 40769(606) 300-8111 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 15, 2026, Sep 27, 2016 (2 updates tracked since 2016).

On this page

About Ms. Illyssa Marie Russell Lpcc-s NPPES

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

MS. ILLYSSA MARIE RUSSELL LPCC-S (NPI 1376877407) is an individual mental health provider in Williamsburg, Kentucky, licensed in Kentucky (167704) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376877407

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. ILLYSSA MARIE RUSSELLCredential: LPCC-S

Location AddressPO BOX 114Williamsburg, KY 40769-0114

Mailing AddressPo Box 114Williamsburg, KY 40769-0114 · (606) 300-8111

Phone(606) 300-8111

Sole ProprietorNo

Enumeration DateSeptember 22, 2009

Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration

NPPES CertifiedOctober 15, 2026

✔ NPI 1376877407 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 KY · 167704

PO BOX 114, Williamsburg, KY 40769

Open in Google Maps ↗

Other Identifiers 1

Medicaid7100413020KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Illyssa Marie Russell Lpcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Illyssa Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Counseling Center, LLC

134 mi

Counselor

1169 EASTERN PKWY STE 3328
Louisville, KY 40217

Reassigned Medicare billing, Kentucky enrollment
201 clinicians in this Medicare group

NPI 1932590338 (855) 591-0092

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 Illyssa Russell's NPI number?

The NPI number for Illyssa Russell is 1376877407. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Where is Illyssa Russell located?

Illyssa Russell practices at PO Box 114, Williamsburg, KY 40769. The listed phone number is (606) 300-8111.

What is Illyssa Russell's specialty?

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

Is Illyssa Russell enrolled in Medicare?

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

Which organization bills Medicare for Illyssa Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Illyssa Russell reassigns Medicare benefits to Kentucky Counseling Center, LLC (Louisville, KY). 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 Illyssa Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Illyssa Russell accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Illyssa 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 Illyssa Russell was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.