MARY RUSSELL-WRIGHT LPC
NPI 1588068670
Counselor - Mental Health in Tyrone, GA

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment
104 WORTHINGTON CT, TYRONE, GA 30290(321) 279-7503 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1588068670
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY RUSSELL-WRIGHTCredential: LPC
Location Address104 WORTHINGTON CTTyrone, GA 30290-1550
Mailing Address104 Worthington CtTyrone, GA 30290-1550 · (321) 279-7503
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 17, 2014
NPI 1588068670 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 GA · LPC 007138
104 WORTHINGTON CT, Tyrone, GA 30290

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 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.

PECOS PAC ID2264759828
PECOS Enrollment IDI20250324000034
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.

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.

What insurance does Mary Russell-wright accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Kansas, 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 11 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.