1. Home
  2. Directory
  3. Utah
  4. South Jordan
  5. Counselor
  6. NPI Profile

MRS. LAURA RENAY RUSSELL CMHC
NPI 1396377917
Counselor - Mental Health in South Jordan, UT

Active since February 11, 2020PECOS Enrolled
5414 DAYBREAK PKWY, C-4 #123, SOUTH JORDAN, UT 84009(385) 355-0830(385) 308-7477 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2023, Feb 11, 2020 (2 updates tracked since 2020).

About Mrs. Laura Renay Russell Cmhc NPPES

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

MRS. LAURA RENAY RUSSELL CMHC (NPI 1396377917) is an individual mental health provider in South Jordan, Utah, licensed in Utah (10322316-6004) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396377917
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LAURA RENAY RUSSELLCredential: CMHC
Location Address5414 DAYBREAK PKWY, C-4 #123South Jordan, UT 84009
Mailing Address5414 Daybreak Pkwy, C-4 #123South Jordan, UT 84009 · (385) 355-0830 · Fax (385) 308-7477
Phone(385) 355-0830
Fax(385) 308-7477
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 11, 2020
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2020
✔ NPI 1396377917 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 UT · 10322316-6004
5414 DAYBREAK PKWY, South Jordan, UT 84009
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Laura Renay Russell Cmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395219265
PECOS Enrollment IDI20260701001969
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 Laura Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascendant Behavioral Health LLC
8.5 mi
Clinical
5965 S 900 E STE 100
Murray, UT 84121
  • Reassigned Medicare billing, Utah enrollment
  • 85 clinicians in this Medicare group
NPI 1689128605 (801) 872-5516

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 Laura Russell's NPI number?

The NPI number for Laura Russell is 1396377917. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Laura Russell located?

Laura Russell practices at 5414 Daybreak Pkwy C-4 #123, South Jordan, UT 84009. The listed phone number is (385) 355-0830.

What is Laura Russell's specialty?

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

Is Laura Russell enrolled in Medicare?

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

Which organization bills Medicare for Laura Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Russell reassigns Medicare benefits to Ascendant Behavioral Health LLC (Murray, UT). 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 Laura Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Russell accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Laura 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 Laura Russell was last updated on August 14, 2023. 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.