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JESSICA MARIE RUSSELL MA, LPC, LAC
NPI 1457646747
Counselor - Professional in Pueblo, CO

Active since June 14, 2011PECOS Enrolled
41 MONTEBELLO RD STE LL1, PUEBLO, CO 81001(719) 545-2746(719) 542-9638 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Marie Russell Ma, Lpc, Lac NPPES

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

JESSICA MARIE RUSSELL MA, LPC, LAC (NPI 1457646747) is an individual professional provider in Pueblo, Colorado, licensed in Colorado (LPC.0011493) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457646747
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA MARIE RUSSELLCredential: MA, LPC, LAC
Location Address41 MONTEBELLO RD STE LL1Pueblo, CO 81001
Mailing Address41 Montebello Rd Ste 202Pueblo, CO 81001-1366 · (719) 545-2746 · Fax (719) 542-9638
Phone(719) 545-2746
Fax(719) 542-9638
Sole ProprietorNo
Enumeration DateJune 14, 2011
Last NPPES UpdateAugust 24, 2018
✔ NPI 1457646747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0011493
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD 0000342 (CO)
41 MONTEBELLO RD STE LL1, Pueblo, CO 81001
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Marie Russell Ma, Lpc, Lac 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.

AMANDA HASENACK
Counselor (Professional)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
REBECCA EVANS
Counselor (Addiction (Substance Use Disorder))
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
RICHARD ALAN BOLDRIDGE
Counselor (Professional)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
BRENDA KISSICK
Driver
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
MR. CHARLES FAZZINO L.P.C.
Counselor (Professional)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
CATHERINE CARBAJAL
Counselor (Professional)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
HEALTH SOLUTIONS
Clinic/Center (Rehabilitation, Substance Use Disorder)
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746
MEGAN CHANDLER
Psychologist
41 MONTEBELLO RD STE LL1
PUEBLO, CO 81001
Pueblo County (719) 545-2746

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 Jessica Russell's NPI number?

The NPI number for Jessica Russell is 1457646747. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Jessica Russell located?

Jessica Russell practices at 41 Montebello Rd Ste Ll1, Pueblo, CO 81001. The listed phone number is (719) 545-2746.

What is Jessica Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Russell was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.