Carolyn A Russo, PH. D., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60320548 Issued in WA

Practice address

110 Main St Ste 104
Edmonds, WA 98020-3180

Phone

(425) 361-7987

NPI assigned

Mar 10, 2010

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliant Therapy Group

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1588197628
  NPD Authorized official

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1598088197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST STE 104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203180",
            "telephone_number": "425-361-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST STE 104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203180",
            "telephone_number": "425-361-7987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st Ave W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981194219",
            "country_code": "US",
            "telephone_number": "425-361-7987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH. D., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60320548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jonathon Rothstrom, PA-C
• Kathryn Roumeliotis, RDH
• Keri Jinju Rowley, MD
• Joshua Rubinstein, N.D.
• Nadya Rubinstein, ND
• Madison Nicole Russo
• Robert Rutherford, M.D.
• S a Babin DDS PLLC
• Sacred Root Acupuncture & Naturopathic Medicine (Sacred Root Medicine)
• George M Sadak

• Mental Health Counselor in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.