Adam J Russo, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

251 Essex PLZ
Essex, CT 06426-1400

Phone

(860) 638-9169

Fax

(860) 469-2938

NPI assigned

Dec 15, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Change Talk LLC

  • Counselor
  • Essex, CT
  • NPI 1780122713

  Mental Health

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1104281369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 ESSEX PLZ",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261400",
            "telephone_number": "860-638-9169",
            "fax_number": "860-469-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ESSEX PLZ",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261400",
            "telephone_number": "860-638-9169",
            "fax_number": "860-469-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-15",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Hornbake MD, PC
• Dana J Rotella, DDS
• Ewa T Ruggieri, M.D.
• Mary Ellen Ruggiero, RN HCSW
• Michaela Russell
• Darcy Rzepka, OTR/L
• Taylor Marie Sansevero, DNP, APRN, CPNP
• Michael M. Sasportas, M.S.W.
• Moheba Sayed, LPC
• Michele Marie Schavoir, RN, CDOE

• Mental Health Counselor in Essex, CT
• Providers in Essex, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.