STANLEY WAYNE RUSSELL LPC NPI 1366642761

NPI Information

  • NPI: 1366642761
  • Provider Name: STANLEY WAYNE RUSSELL, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 S SHORE DR UNIT 224
    BATTLE CREEK, MI
    ZIP 49014
  • Phone: (269) 979-8119

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NPI Details

Stanley Wayne Russell, LPC is a professional counselor in Battle Creek, MI with 20 years of experience. Stanley Wayne Russell, LPC NPI is 1366642761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 S SHORE DR UNIT 224
BATTLE CREEK, MI
ZIP 49014-440
Phone: (269) 979-8119

The NPI 1366642761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/23/2007 and was last updated on 4/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor6401010247MICHIGANNo
2101YM0800XCounselorMental Health6401010247MICHIGANNo
3101YP1600XCounselorPastoral6401010247MICHIGANNo
4101YP2500XCounselorProfessional6401010247MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11366642761MEDICAIDMICHIGAN
26401010247OTHERMICHIGANSTATE OF MICHIGAN LICENSED PROFESSIONAL COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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