MR. CORY ANTHONY RUSSELL LPCI
NPI 1720498785
Counselor - Mental Health in Allendale, SC

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
438 BARNWELL RD, ALLENDALE, SC 29810(803) 584-4636 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Cory Anthony Russell Lpci NPPES

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

MR. CORY ANTHONY RUSSELL LPCI (NPI 1720498785) is an individual mental health provider in Allendale, South Carolina, licensed in South Carolina (6131) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720498785
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CORY ANTHONY RUSSELLCredential: LPCI
Location Address438 BARNWELL RDAllendale, SC 29810
Mailing Address1050 Ribaut RdBeaufort, SC 29902-5400 · (843) 524-8899
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 30, 2014
Last NPPES UpdateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1720498785 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 SC · 6131
438 BARNWELL RD, Allendale, SC 29810

Other Names 1

Professional Name (2)Mr. Cory Anthony Russell Lpc

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

Mr. Cory Anthony Russell Lpci 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 ID9739607730
PECOS Enrollment IDI20250514000149
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 Cory Russell's NPI number?

The NPI number for Cory Russell is 1720498785. It was assigned to this individual provider in the NPPES registry on April 30, 2014. The provider is also known as Mr. Cory Anthony Russell Lpc.

Where is Cory Russell located?

Cory Russell practices at 438 Barnwell Rd, Allendale, SC 29810. The listed phone number is (803) 584-4636.

What is Cory Russell's specialty?

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

Is Cory Russell enrolled in Medicare?

Yes. Cory Russell 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 Cory Russell accept?

Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina, Providence Health Plan and UnitedHealthcare list Cory 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 Cory Russell was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.