PETRA RUSSELL
NPI 1780358572
Counselor in Tulsa, OK

Active since August 04, 2021
4867 S SHERIDAN RD STE 712A, TULSA, OK 74145(918) 205-3013 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Petra Russell NPPES

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

PETRA RUSSELL (NPI 1780358572) is an individual counselor in Tulsa, Oklahoma and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1780358572
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NamePETRA RUSSELL
Location Address4867 S SHERIDAN RD STE 712ATulsa, OK 74145-5721
Mailing Address1264 E 139th PlGlenpool, OK 74033-3125 · (918) 671-0843
Sole ProprietorNo
Enumeration DateAugust 4, 2021
NPPES CertifiedAugust 3, 2021
NPI 1780358572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4867 S SHERIDAN RD STE 712A, Tulsa, OK 74145

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
4867 S SHERIDAN RD STE 712A
TULSA, OK 74145
Counselor
4867 S SHERIDAN RD STE 712A
TULSA, OK 74145

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 Petra Russell's NPI number?

The NPI number for Petra Russell is 1780358572. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Petra Russell located?

Petra Russell practices at 4867 S Sheridan Rd Ste 712A, Tulsa, OK 74145. The listed phone number is (918) 205-3013.

What is Petra Russell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Petra Russell accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Petra 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 Petra Russell was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.