MARY RUSSELL-WRIGHT LPC
NPI 1588068670
Counselor - Mental Health in Tyrone, GA
About Mary Russell-wright Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY RUSSELL-WRIGHT LPC (NPI 1588068670) is an individual mental health provider in Tyrone, Georgia, licensed in Georgia (LPC 007138) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Russell-wright Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Russell-wright reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Georgia enrollment
- 206 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-wright's NPI number?
The NPI number for Mary Russell-wright is 1588068670. It was assigned to this individual provider in the NPPES registry on October 17, 2014.
Where is Mary Russell-wright located?
Mary Russell-wright practices at 104 Worthington Ct, Tyrone, GA 30290. The listed phone number is (321) 279-7503.
What is Mary Russell-wright's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Russell-wright enrolled in Medicare?
Yes. Mary Russell-wright is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Russell-wright's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Russell-wright reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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-wright's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Russell-wright accept?
Health plans from Alliant Health Plans, Inc. and CareSource list Mary Russell-wright 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 Mary Russell-wright was last updated on October 17, 2014. 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.
# Mary Russell-Wright, LPC · NPI 1588068670
Mental Health provider in Tyrone, Georgia. Individual provider, active in the CMS NPPES registry since October 17, 2014.
## Identity
- **NPI:** 1588068670 (Entity type: Individual)
- **Enumerated:** October 17, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC 007138 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 104 WORTHINGTON CT, Tyrone, GA 30290-1550
- **Phone:** (321) 279-7503
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** October 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1588068670) · Data from the CMS NPPES public registry.