Jennifer Russell, PH.D.
NPI 1114347846ActiveIndividual· Psychologist, Clinical· Shreveport, LA
Psychologist, Clinical (PH.D.) in Shreveport, Louisiana, licensed in LA and TX, with an NPI issued in April 2014. Medicare paid $5,316 for services to 34 patients in 2024.
Overview
| NPI | 1114347846 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Apr 21, 2014 |
| Last updated in NPPES | Jan 8, 2020 |
| Certified by provider | Jan 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1399 | LA |
| Psychologist | 103T00000X | 35083 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 64 across 5 procedure codes |
| Paid by Medicare | $5,316 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 28 clinical psychologists in Shreveport · All clinical psychologists in Louisiana