MICHAEL JAMES RUSSELL LMHC
NPI 1700478641
Counselor - Mental Health in Jacksonville, FL

Q: What is Michael Russell's NPI number?

The NPI number for Michael Russell is 1700478641. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Q: What is Michael Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Russell was last updated on October 30, 2024. 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.

Active since February 10, 2021PECOS Enrolled

1301 RIVERPLACE BLVD STE 800, JACKSONVILLE, FL 32207(917) 634-5311 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Michael James Russell Lmhc NPPES

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

MICHAEL JAMES RUSSELL LMHC (NPI 1700478641) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH-23263) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Commack.

NPPES Registry Identity

NPI1700478641

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMICHAEL JAMES RUSSELLCredential: LMHC

Location Address1301 RIVERPLACE BLVD STE 800Jacksonville, FL 32207-9032

Mailing AddressPo Box 24449New York, NY 10087-0589 · (917) 634-5311

Phone(917) 634-5311

Sole ProprietorNo

Enumeration DateFebruary 10, 2021

Last NPPES UpdateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1700478641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · MH-23263✔ Licensed in NY · 011062

1301 RIVERPLACE BLVD STE 800, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 1368 Veterans Memorial Hwy Ste 3Commack, NY 11725-4322 · Phone (631) 533-0315

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael James Russell Lmhc 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Soul Ambition, Inc.

277 mi

Counseling

1375 GATEWAY BLVD STE 32
Boynton Beach, FL 33426

Reassigned Medicare billing, Florida enrollment
20 clinicians in this Medicare group

NPI 1669028957 (561) 314-5074

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

PRECIOUS ESSENTIALS HEALTHCARE SOLUTIONS LLC

Non-emergency Medical Transport (VAN)