Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon J Russell

Individual provider Mental Health Counselor · NPI 1386196525

Brandon J Russell is a Mental Health Counselor in Greensboro, North Carolina. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016

Practice location Address checks out

1000 W Friendly Ave
Greensboro, NC 27401-1808
Phone: (252) 432-5224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A12597 (NC)

Record details

NPI number1386196525
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 3, 2016
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Greensboro