WYNONA RUSS LPC
NPI 1588108989
Counselor - Mental Health in Lafayette, LA

Active since December 05, 2016PECOS Enrolled
850 KALISTE SALOOM RD STE RAMPART, LAFAYETTE, LA 70508(337) 504-4974 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 15, 2023, Jul 11, 2019 (2 updates tracked since 2019).

About Wynona Russ Lpc NPPES

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

WYNONA RUSS LPC (NPI 1588108989) is an individual mental health provider in Lafayette, Louisiana, licensed in Louisiana (8218) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588108989
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWYNONA RUSSCredential: LPC
Location Address850 KALISTE SALOOM RD STE RAMPARTLafayette, LA 70508-4230
Mailing Address114 Fairwood DrBroussard, LA 70518-4896 · (337) 967-0115
Sole ProprietorNo
Enumeration DateDecember 5, 2016
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1588108989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in LA · 8218
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
850 KALISTE SALOOM RD STE RAMPART, Lafayette, LA 70508

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)

Wynona Russ Lpc 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.

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 Wynona Russ's NPI number?

The NPI number for Wynona Russ is 1588108989. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is Wynona Russ located?

Wynona Russ practices at 850 Kaliste Saloom Rd Ste Rampart, Lafayette, LA 70508. The listed phone number is (337) 504-4974.

What is Wynona Russ's specialty?

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

Is Wynona Russ enrolled in Medicare?

Yes. Wynona Russ is registered in the Medicare PECOS enrollment system.

What insurance does Wynona Russ accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, HMO Louisiana and UnitedHealthcare list Wynona Russ 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 Wynona Russ was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.