1. Home
  2. Directory
  3. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

WANDA J RUSSELL LMHC
NPI 1972870202
Counselor - Mental Health in Lily Dale, NY

Active since December 01, 2011PECOS Enrolled
PO BOX 121, 19 FIRST STREET, LILY DALE, NY 14752(412) 997-4323 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2026, Jan 12, 2026 (2 updates tracked since 2026).

About Wanda J Russell Lmhc NPPES

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

WANDA J RUSSELL LMHC (NPI 1972870202) is an individual mental health provider in Lily Dale, New York, licensed in New York (014700) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1972870202
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWANDA J RUSSELLCredential: LMHC
Location AddressPO BOX 121, 19 FIRST STREETLily Dale, NY 14752-0121
Mailing AddressPo Box 121, 19 First StreetLily Dale, NY 14752-0121 · (412) 310-5660
Phone(412) 997-4323
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 1, 2011
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1972870202 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
License✔ Licensed in NY · 014700
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License EPPNJJV6 (PA)
PO BOX 121, Lily Dale, NY 14752
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda J Russell Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305311051
PECOS Enrollment IDI20260603004743
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 Wanda Russell's NPI number?

The NPI number for Wanda Russell is 1972870202. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Wanda Russell located?

Wanda Russell practices at PO Box 121 19 First Street, Lily Dale, NY 14752. The listed phone number is (412) 997-4323.

What is Wanda Russell's specialty?

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

Is Wanda Russell enrolled in Medicare?

Yes. Wanda Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wanda Russell was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.