STEPHANIE MICHELLE RUSSELL
NPI 1568070316
Counselor - Mental Health in Bethpage, NY

Active since July 17, 2020PECOS Enrolled
1211 STEWART AVE STE 100, BETHPAGE, NY 11714(399) 851-6465 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2020, Jul 17, 2020 (2 updates tracked since 2020).

About Stephanie Michelle Russell NPPES

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

STEPHANIE MICHELLE RUSSELL (NPI 1568070316) is an individual mental health provider in Bethpage, New York, licensed in New York (009894) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1568070316
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE MICHELLE RUSSELL
Location Address1211 STEWART AVE STE 100Bethpage, NY 11714-1601
Mailing Address367 5th Ave # 3fBrooklyn, NY 11215-8136 · (303) 505-1790
Sole ProprietorNo
Enumeration DateJuly 17, 2020
Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1568070316 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 NY · 009894
1211 STEWART AVE STE 100, Bethpage, NY 11714

Secondary Practice Location 1

Location 1367 5th Ave # 3FBrooklyn, NY 11215-8136 · Phone (303) 505-1790

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Michelle Russell 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 17

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

Counselor (Mental Health)
1211 STEWART AVE STE 100
BETHPAGE, NY 11714
Counselor (Mental Health)
1211 STEWART AVE STE 100
BETHPAGE, NY 11714
Dietitian, Registered
1211 STEWART AVE STE 100
BETHPAGE, NY 11714
Counselor (Professional)
1211 STEWART AVE STE 100
BETHPAGE, NY 11714
Counselor (Mental Health)
1211 STEWART AVE STE 100
BETHPAGE, NY 11714
Counselor (Mental Health)
1211 STEWART AVE STE 100
BETHPAGE, NY 11714
Counselor (Mental Health)
1211 STEWART AVE STE 100
BETHPAGE, NY 11714
Counselor (Mental Health)
1211 STEWART AVE STE 100
BETHPAGE, NY 11714

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 Stephanie Russell's NPI number?

The NPI number for Stephanie Russell is 1568070316. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Where is Stephanie Russell located?

Stephanie Russell practices at 1211 Stewart Ave Ste 100, Bethpage, NY 11714. The listed phone number is (399) 851-6465.

What is Stephanie Russell's specialty?

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

Is Stephanie Russell enrolled in Medicare?

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

What insurance does Stephanie Russell accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Stephanie Russell 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 Stephanie Russell was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.