RUSSELL OWEN FUNK M.S.
NPI 1467505636
Counselor - Mental Health in Chehalis, WA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since January 19, 2007PECOS Enrolled

135 W MAIN ST, CHEHALIS, WA 98532(360) 748-6696(360) 748-0627 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Russell Owen Funk M.s. NPPES

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

RUSSELL OWEN FUNK M.S. (NPI 1467505636) is an individual mental health provider in Chehalis, Washington, licensed in Washington (LH00006320) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467505636

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameRUSSELL OWEN FUNKCredential: M.S.

Location Address135 W MAIN STChehalis, WA 98532-4817

Mailing AddressPo Box 491Castle Rock, WA 98611-0491 · (360) 274-4003

Phone(360) 748-6696

Fax(360) 748-0627

Sole ProprietorNo

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467505636 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 WA · LH00006320

135 W MAIN ST, Chehalis, WA 98532

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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)

Russell Owen Funk M.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.