Active NPI
Olga L Russo
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1043117187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704019685
- Practice address
- 780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361 - Phone
- (877) 374-1451
- NPI assigned
- Oct 22, 2026
- Last updated
- Oct 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704019685 | VA | Primary |
Addresses
Primary practice location
780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361
Mailing address
117 Porthole CT
Kill Devil Hills, NC 27948-9370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1043117187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 PORTHOLE CT",
"city": "KILL DEVIL HILLS",
"state": "NC",
"postal_code": "279489370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY STE 340",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527361",
"telephone_number": "877-374-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "OLGA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704019685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.