MRS. ILLYSSA MARIE RUSSELL LPCC
NPI 1376877407
Counselor - Mental Health in Corbin, 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 September 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 22, 2009PECOS Enrolled

1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701(606) 528-7010 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Illyssa Marie Russell Lpcc NPPES

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

MRS. ILLYSSA MARIE RUSSELL LPCC (NPI 1376877407) is an individual mental health provider in Corbin, 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 NameMRS. ILLYSSA MARIE RUSSELLCredential: LPCC

Location Address1203 AMERICAN GREETING CARD RDCorbin, KY 40701-4811

Mailing AddressPo Box 568Corbin, KY 40702-0568 · (606) 528-7010

Phone(606) 528-7010

Sole ProprietorNo

Enumeration DateSeptember 22, 2009

Last NPPES UpdateSeptember 27, 2016

✔ 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

1203 AMERICAN GREETING CARD RD, Corbin, KY 40701

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Other Identifiers 1

Medicaid7100413020KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Illyssa Marie Russell Lpcc 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.

Other Providers at the Same Location NPPES 20

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

MRS. JENNIFER KAY MILLER BS

Counselor (Mental Health)