Sandtrice Russell, LPC
NPI 1578007803ActiveIndividual· Counselor, Professional· Fairburn, GA
Counselor, Professional (LPC) in Fairburn, Georgia, licensed in GA, with an NPI issued in December 2016. Enrolled in Medicare as practitioner - mental health counselor and practitioner - mental health counselor.
Overview
| NPI | 1578007803 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Dec 6, 2016 |
| Last updated in NPPES | Dec 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC009310 | GA |
| Counselor | 101Y00000X | LPC009310 | GA |
| Counselor, Mental Health | 101YM0800X | LPC009310 | GA |
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 - Mental Health Counselor (GA); Practitioner - Mental Health Counselor (TX) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Other professional counselors in Fairburn
- 1063269082
- 1427955731
- 1437830874
- 1639618648
- 1780284513
- 1558151332
- 1689059172
- 1831854827
- 1992545552
- 1508204207
- 1003176363
- 1508288333
All 27 professional counselors in Fairburn · All professional counselors in Georgia