MR. CORY ANTHONY RUSSELL LPCI
NPI 1720498785
Counselor - Mental Health in Allendale, SC
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, maintains a secondary practice location in Clinton, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Cory Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton, SC 29325
- Reassigned Medicare billing, South Carolina enrollment
- 51 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 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.
Which organization bills Medicare for Cory Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cory Russell reassigns Medicare benefits to Lifesource Of North Carolina (Clinton, SC). 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 Cory Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cory Russell accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 1 other insurer 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 18 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.
# Mr. Cory Anthony Russell, LPCI · NPI 1720498785
Mental Health provider in Allendale, South Carolina. Individual provider, active in the CMS NPPES registry since April 30, 2014.
## Identity
- **NPI:** 1720498785 (Entity type: Individual)
- **Enumerated:** April 30, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6131 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 438 BARNWELL RD, Allendale, SC 29810
- **Phone:** (803) 584-4636
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lifesource Of North Carolina (NPI 1972861789, Clinton, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720498785) · Data from the CMS NPPES public registry.