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LISA MARIE RUSSOW
NPI 1487087680
Counselor - Mental Health in Centralia, IL

Active since August 12, 2013
904 M L KING DR, CENTRALIA, IL 62801(618) 533-1391 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Marie Russow NPPES

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

LISA MARIE RUSSOW (NPI 1487087680) is an individual mental health provider in Centralia, Illinois and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1487087680
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MARIE RUSSOW
Location Address904 M L KING DRCentralia, IL 62801-3058
Mailing Address904 M L King DrCentralia, IL 62801-3058 · (618) 533-1391
Phone(618) 533-1391
Sole ProprietorNo
Enumeration DateAugust 12, 2013
✔ NPI 1487087680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
904 M L KING DR, Centralia, IL 62801
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Accepted Insurance

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

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.

ANDREA SLATER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
STEFFANY SLININGER
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
ASPIN WALTA
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MRS. CARLIE MICHELLE KASTEN
Counselor (Mental Health)
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
XZAVIER DENTON
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
BROOKE DUNN
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
DAKOTA HUNTER
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391
MALLORY OWENS MSW
Counselor
904 M L KING DR
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 Lisa Russow's NPI number?

The NPI number for Lisa Russow is 1487087680. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Where is Lisa Russow located?

Lisa Russow practices at 904 M L King Dr, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Lisa Russow's specialty?

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

What insurance does Lisa Russow accept?

Health plans from Providence Health Plan and UnitedHealthcare list Lisa Russow 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 Lisa Russow was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.