CATHERINE PHYLLIS RUSSELL – Mental Health Counselor, NPI 1437544962

CATHERINE PHYLLIS RUSSELL is a healthcare provider. based in Boulder, Colorado. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for CATHERINE PHYLLIS RUSSELL is 1437544962

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE PHYLLIS RUSSELL
NPI
1437544962
Phone
(303) 443-8500
Address
1333 IRIS AVE
Enumeration Date
1 April 2015
Last Update Date
20 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207224496
Graduation Year
2016 (10 years ago)
PAC ID
0244674083
Group Practice PAC ID
6305734203
Professional Enrollment ID
I20240220001888
Address ID
CO803011361BO2975XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for CATHERINE PHYLLIS RUSSELL

  • 1333 IRIS AVE

    BOULDER, CO 803042226

    Phone: (303) 443-8500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240220001888IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80304)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305734203View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
-CO
Mental Health CounselorCO
Clinical Social WorkerCO
Clinical PsychologistCO
Clinical Social WorkerCO
Clinical Social WorkerCO
Clinical Social WorkerCO
Clinical Social WorkerCO
Mental Health CounselorCO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for CATHERINE PHYLLIS RUSSELL in U.S. healthcare records?
The official identifier for CATHERINE PHYLLIS RUSSELL is NPI 1437544962.
Would CATHERINE PHYLLIS RUSSELL appear as active to a payer?
You can treat CATHERINE PHYLLIS RUSSELL as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CATHERINE PHYLLIS RUSSELL?
CATHERINE PHYLLIS RUSSELL's specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with CATHERINE PHYLLIS RUSSELL?
Directory geography for CATHERINE PHYLLIS RUSSELL centers on Boulder, Colorado.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

ELIZABETH BERRY (M.A.)

Mental Health Counselor
Penrose Place, Boulder, Boulder County, Colorado, 80304, United States
NPI: 1932181120

MS. NANCY ELLEN KENNEY (LPC, CAC II)

Addiction (Substance Use Disorder) Counselor
4438, Driftwood Place, Gunbarrel, Boulder County, Colorado, 80301, United States
NPI: 1225009251

LISA KIRSTEN SYDOW (M.A.)

Mental Health Counselor
2043, Pearl Street, Boulder, Boulder County, Colorado, 80302, United States
NPI: 1700835402

Unknown Individual

Mental Health Counselor
1230, Wildwood Road, Boulder, Boulder County, Colorado, 80305, United States
NPI: 1396781977

MS. GIANNA GARIGLIETTI (LPC)

Mental Health Counselor
165 S MAIN ST STE D
NPI: 1730104688

MS. JULIE A KINTZING (LCSW)

Mental Health Counselor
PO BOX 20944
NPI: 1417961301

KATHY PIKE NARUM (RN, MA)

Mental Health Counselor
6700, West 44th Avenue, Wheat Ridge, Jefferson County, Colorado, 80033, United States
NPI: 1215040241
5131 Manatee Ave W
NPI: 1184733206

MS. NANCY RUTH GOLDAPER (LPC)

Addiction (Substance Use Disorder) Counselor
PO BOX 254
NPI: 1316040108