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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: October 25, 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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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 IDI20260409002814, I20260603004743
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.

Medicare Billing Reassignment

Medicare enrollment records show Wanda Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,144 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 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.

Which organization bills Medicare for Wanda Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Russell reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Wanda Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wanda Russell accept?

Health plans from Oscar Health list Wanda 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 Wanda Russell was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.