IndividualActive
Michael Russell, LMHC
NPI 1700478641 · Mental Health Counselor · Jacksonville, FL
Provider details
- NPI number
- 1700478641
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- License
- 011062 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1301 Riverplace Blvd Ste 800
Jacksonville, FL 32207-9032
Phone: (917) 634-5311
Street-level locationGet directions
Mailing address
Po Box 24449
New York, NY 10087-0589
Additional practice locations (1)
- 368 Veterans Memorial Hwy Ste 3Commack, NY 11725-4322Phone: (631) 533-0315
Registry dates
- Enumerated
- 2021-02-10
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.