MR. THOMAS MICHAEL RUSSELL JR. BA
NPI 1467190777
Counselor - Mental Health in Bowling Green, KY

Active since May 25, 2022
5966 SCOTTSVILLE RD, BOWLING GREEN, KY 42104(270) 904-5104 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Michael Russell Jr. Ba NPPES

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

MR. THOMAS MICHAEL RUSSELL JR. BA (NPI 1467190777) is an individual mental health provider in Bowling Green, Kentucky and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1467190777
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. THOMAS MICHAEL RUSSELL JR.Credential: BA
Location Address5966 SCOTTSVILLE RDBowling Green, KY 42104-0387
Mailing Address211 Westbrook RdAlvaton, KY 42122-8682 · (502) 553-5746
Sole ProprietorNo
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
NPI 1467190777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5966 SCOTTSVILLE RD, Bowling Green, KY 42104

Other Names 1

Former Name (1)Mr. Thomas Michael Russell Ba

Other Identifiers 1

OtherU8171581502KY · Cigna

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
5966 SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Social Worker (Clinical)
5966 SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Social Worker (Clinical)
5966 SCOTTSVILLE RD
BOWLING GREEN, KY 42104
Social Worker (Clinical)
5966 SCOTTSVILLE RD
BOWLING GREEN, KY 42104

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 Thomas Russell's NPI number?

The NPI number for Thomas Russell is 1467190777. It was assigned to this individual provider in the NPPES registry on May 25, 2022. The provider is also known as Mr. Thomas Michael Russell Ba.

Where is Thomas Russell located?

Thomas Russell practices at 5966 Scottsville Rd, Bowling Green, KY 42104. The listed phone number is (270) 904-5104.

What is Thomas Russell's specialty?

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

When was this NPI record last updated?

The NPPES record for Thomas Russell was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.