IndividualActive
Russell Gillette, LPC, LADC
NPI 1497057558 · Professional Counselor · Tahlequah, OK
Provider details
- NPI number
- 1497057558
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, LADC
- Sex
- Male
- Sole proprietor
- No
- License
- 271 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1008 S Muskogee Ave
Tahlequah, OK 74464-4734
Phone: (918) 458-0113
Fax: (918) 458-0075
Street-level locationGet directions
Mailing address
112 W Main St
Purcell, OK 73080-4220
Registry dates
- Enumerated
- 2010-11-23
- Last updated
- 2010-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.