Wanda J Russell, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Lily Dale, New York. She graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
Po Box 121, 19 First Street, Lily Dale, New York. You can reach out to her office (for appointments etc.) via phone at
(412) 997-4323.
Wanda J Russell is licensed to practice in New York (license number 014700) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1972870202.
Healthcare Provider's Profile
| Full Name | Wanda J Russell |
|---|
| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 18 Years |
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| Location | Po Box 121, Lily Dale, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Wanda J Russell graduated from medical school in 2008
NPI Data:
- NPI Number: 1972870202
- Provider Enumeration Date: 12/01/2011
- Last Update Date: 01/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 6305311051
- Enrollment ID: I20260603004743
Medical Identifiers
Medical identifiers for Wanda J Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972870202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 014700 (New York) | Primary |
| 101YP2500X | Counselor - Professional | EPPNJJV6 (Pennsylvania) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wanda J Russell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Wanda J Russell, LMHC Po Box 121, 19 First Street, Lily Dale, NY 14752-0121 Ph: (412) 997-4323 | Wanda J Russell, LMHC Po Box 121, 19 First Street, Lily Dale, NY 14752-0121 Ph: (412) 997-4323 |
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