MARY ANN RUSSELL LPC
NPI 1538413323
Counselor - Mental Health in Portland, OR
About Mary Ann Russell Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ANN RUSSELL LPC (NPI 1538413323) is an individual mental health provider in Portland, Oregon, licensed in Washington (MC60301227) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Ann Russell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97233
- Reassigned Medicare billing, Oregon enrollment
- 39 clinicians in this Medicare group
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 Mary Russell's NPI number?
The NPI number for Mary Russell is 1538413323. It was assigned to this individual provider in the NPPES registry on November 1, 2012.
Where is Mary Russell located?
Mary Russell practices at 9316 SE Salmon Ct, Portland, OR 97216. The listed phone number is (360) 633-0036.
What is Mary Russell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Russell enrolled in Medicare?
Yes. Mary Russell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Russell reassigns Medicare benefits to Native American Rehabilitation Assoc Inc (Portland, OR). 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 Mary Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Russell was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Mary Ann Russell, LPC · NPI 1538413323
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since November 1, 2012.
## Identity
- **NPI:** 1538413323 (Entity type: Individual)
- **Enumerated:** November 1, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MC60301227 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9316 SE SALMON CT, Portland, OR 97216-2110
- **Phone:** (360) 633-0036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Native American Rehabilitation Assoc Inc (NPI 1053691972, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538413323) · Data from the CMS NPPES public registry.