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

Tina Denise Russell, LPC

Individual provider Mental Health Counselor · NPI 1942510573

Tina Denise Russell, LPC is a Mental Health Counselor in Tishomingo, Oklahoma. Qualified in 2010, 16 years ago. Practices with Family Health Center of Southern Oklahoma Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Oklahoma, Texas and Washington.

Years since qualifying
16
Licensed in
OK, TX, WA
In the registry since
2010
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

610 E 24th St
Tishomingo, OK 73460-3245
Phone: (580) 371-2343
Fax: (580) 371-3614
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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 LPC05924 (OK)
Mental Health Counselor Taxonomy 101YM0800X · Licence LH61487142 (WA)
Counselor Taxonomy 101Y00000X · Licence 92437 (TX)

Record details

NPI number1942510573
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 17, 2010
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Family Health Center Of Southern Oklahoma Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tishomingo