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

Mrs. Laura Renay Russell, CMHC

Individual provider Mental Health Counselor · NPI 1396377917

Mrs. Laura Renay Russell, CMHC is a Mental Health Counselor in South Jordan, Utah. Qualified in 2017, 9 years ago. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2020
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Practice location Address checks out

5414 Daybreak Pkwy C-4 #123
South Jordan, UT 84009
Phone: (385) 355-0830
Fax: (385) 308-7477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10322316-6004 (UT)

Record details

NPI number1396377917
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMHC
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESAugust 14, 2023
Certification dateFebruary 11, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in South Jordan