Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shondrea Russum, PCMHT

Mental Health Counselor in Jackson, MS · enumerated 2017 · practices at Waverley Health Care Consultants, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801332192

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Registry record

Entity type Individual (Type 1)

Name Shondrea Russum

Credential PCMHT

Sex Female

Practice address 460 Briarwood Dr, Suite 510, Jackson, MS, 39206

Phone (601) 956-4816

Fax (601) 956-4817

Enumeration date Jan 11, 2017

Last updated in NPPES Jan 11, 2017

Taxonomy & licenses

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License PH3926 (MS) Primary

Other identifiers

Identifier	Type	State	Issuer
01670076	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Shondrea Russum?

The National Provider Identifier (NPI) for Shondrea Russum is 1801332192, a Type 1 (individual) record in the CMS NPPES registry.

Where does Shondrea Russum practice?

The practice location on file with NPPES is in Jackson, MS. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-11.