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Active NPI 1285640128 Individual Practitioner Male Practitioner

Michael Russell , MA, DMIN

Counselor - Professional • College Station, TX

Professional Overview & Biography Verified Profile Summary

Michael Russell, MA, DMIN is a registered healthcare professional specializing in Counselor - Professional in College Station, TX. Practice services are available at 207 ROCK PRAIRIE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

207 Rock Prairie Rd
Suite B

College Station, TX 778458777

Telephone 9796933393
Fax 9796947337
Associated Practice Facility / Clinic
🏢 Jamilia Blake Facility NPI 1225390594

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in College Station, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
54 Specialists

Practicing in College Station, TX (21203 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 9957

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
2809LC (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Laura Brown , LPC, LMFT

Counselor - Mental Health

NPI 1023192150

Licensed Professional Counselor, Licensed Marriage and Family Therapist

Mary Payne , LCSW

Social Worker - Clinical

NPI 1053882621

Licensed Clinical Social Worker

NPI 1114287133

Doctor of Philosophy (Ph.D.)

NPI 1295809952

Doctor of Philosophy (Ph.D.)

Debra Milburn , MS, LPC

Counselor - Mental Health

NPI 1477577344

Master of Science, Licensed Professional Counselor

NPI 1558371823

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 207 ROCK PRAIRIE RD, SUITE B, COLLEGE STATION, TX 778458777 (Tel: 9796933393)

📍
Updated Business Mailing Address July 08, 2007

Registered at 207 ROCK PRAIRIE RD, SUITE B, COLLEGE STATION, TX 778458777 (Tel: 9796933393)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL RUSSELL, M.A., D.MIN.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #9957 in TX)

🟢
Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285640128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

207 Rock Prairie Rd, Suite B

College Station, TX 778458777

Phone: 9796933393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.