Organization Active NPI

Gena Russo

  • Community/Behavioral Health Agency
  • Denver, CO
National Provider Identifier
1205109667
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1957 Issued in CO
Legal business name
GENA RUSSO
Practice address
2984 S Wabash St
Denver, CO 80231-4223
Phone
(860) 874-7149
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Gena Hope Russo, LCSW
Title
Licsensed Clinical Social Worker
Phone
(860) 874-7149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1957 CO Primary

Addresses

Primary practice location

2984 S Wabash St
Denver, CO 80231-4223

Mailing address

2984 S Wabash St
Denver, CO 80231-4223
Phone (860) 874-7149

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1205109667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 S WABASH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314223",
            "telephone_number": "860-874-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2984 S WABASH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314223",
            "telephone_number": "860-874-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENA RUSSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "GENA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "LICSENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-874-7149",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.