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TINA DENISE RUSSELL LPC
NPI 1942510573
Counselor - Mental Health in Tishomingo, OK

Active since October 17, 2010PECOS EnrolledAccepts Medicare Assignment
610 E 24TH ST, TISHOMINGO, OK 73460(580) 371-2343(580) 371-3614 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Oct 7, 2024, Dec 20, 2022 (3 updates tracked since 2022).

About Tina Denise Russell Lpc NPPES

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

TINA DENISE RUSSELL LPC (NPI 1942510573) is an individual mental health provider in Tishomingo, Oklahoma, licensed in Oklahoma (LPC05924) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942510573
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA DENISE RUSSELLCredential: LPC
Location Address610 E 24TH STTishomingo, OK 73460-3245
Mailing Address610 E 24th StTishomingo, OK 73460-3245 · (580) 371-2343 · Fax (580) 371-3614
Phone(580) 371-2343
Fax(580) 371-3614
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 17, 2010
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1942510573 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
Licenses✔ Licensed in OK · LPC05924✔ Licensed in WA · LH61487142
Also ListedCounselorTaxonomy 101Y00000X · License 92437 (TX)
610 E 24TH ST, Tishomingo, OK 73460
Open in Google Maps ↗

Other Identifiers 1

Medicaid200337320BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica and more.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

Tina Denise Russell Lpc 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 ID5294220208
PECOS Enrollment IDI20251217002627
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.

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.

KEITH GERRELL PLUMMER PA-C
Physician Assistant (Medical)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
TOMMIE GAY STANBERRY PA-C
Physician Assistant (Medical)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
DR. ERIC SCOTT LEE D.O.
Family Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
UNA LORRAINE MCELHANY ARNP
Nurse Practitioner (Family)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
SHANETHA LINN COLLIER D.D.S.
Dentist
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
DR. KAYLA MUSZYNSKI DDS
Dentist
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
MRS. JESSICA L LAWLEY LPC
Counselor (Professional)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
OLLIE LOGAN BEARD IV DDS
Dentist
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343

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 Tina Russell's NPI number?

The NPI number for Tina Russell is 1942510573. It was assigned to this individual provider in the NPPES registry on October 17, 2010.

Where is Tina Russell located?

Tina Russell practices at 610 E 24th St, Tishomingo, OK 73460. The listed phone number is (580) 371-2343.

What is Tina Russell's specialty?

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

Is Tina Russell enrolled in Medicare?

Yes. Tina 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 Tina Russell accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica, Mending Health and UnitedHealthcare list Tina 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 Tina Russell was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.