Jennifer L Russell, Psychologist, LLC
NPI 1316577141ActiveOrganization· Psychologist, Clinical· Shreveport, LA
Psychologist, Clinical in Shreveport, Louisiana, registered in NPPES in January 2020. The authorized official on file is Josie Larkins, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316577141 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2020 |
| Last updated in NPPES | Mar 11, 2024 |
| Certified by provider | Mar 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (LA) |
|---|
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