RUSSELL BINGHAM (ACMHC) – Mental Health Counselor, NPI 1275923161

RUSSELL BINGHAM (ACMHC) is a healthcare provider. based in St george, Utah. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials ACMHC. They hold a License No. 5599275-6009 (UT). The NPI Number for RUSSELL BINGHAM (ACMHC) is 1275923161

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL BINGHAM (ACMHC)
NPI
1275923161
Phone
(435) 634-5600
Address
474 W 200 N
Enumeration Date
29 January 2015
Last Update Date
29 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356345600
Graduation Year
2013 (13 years ago)
PAC ID
5092240093
Group Practice PAC ID
0941246086
Professional Enrollment ID
I20241127003837
Address ID
UT847704505ST474XXNXXX406
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

356 MENTAL HEALTH COUNSELOR in UT

Provider Addresses for RUSSELL BINGHAM (ACMHC)

  • 474 W 200 N

    ST GEORGE, UT 847704505

    Phone: (435) 634-5600

    Fax: (435) 986-8700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-11-27

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
I20241127003837IMental Health CounselorUTTBD

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 84770)

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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: 0941246086View full group profile
NameSpecialtyState
Clinical Social WorkerUT
Clinical Social WorkerUT
-UT
Mental Health CounselorUT
-UT
Nurse PractitionerUT
Clinical Social WorkerUT
-UT
Clinical Social WorkerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Can I verify RUSSELL BINGHAM (ACMHC) with an NPI only?
You can start verification with NPI 1275923161 for RUSSELL BINGHAM (ACMHC), then check state licensing separately.
Is RUSSELL BINGHAM (ACMHC) listed as active for patients and plans?
The listing shows RUSSELL BINGHAM (ACMHC) as active in the NPI system.
What is RUSSELL BINGHAM (ACMHC)'s specialty?
The listing groups RUSSELL BINGHAM (ACMHC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for RUSSELL BINGHAM (ACMHC)?
RUSSELL BINGHAM (ACMHC)'s geographic hint is St George, Utah in our summary view.
Why does RUSSELL BINGHAM (ACMHC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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