Carol Anne Russo, LMHC NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH 10590 Issued in FL

Practice address

4818 Coronado Pkwy
Suite 3
Cape Coral, FL 33904-9592

Phone

(239) 772-5091

NPI assigned

Aug 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1679852834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SW 38TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144893",
            "telephone_number": "239-772-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 CORONADO PKWY",
            "address_2": "SUITE 3",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049592",
            "telephone_number": "239-772-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 10590",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00018400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Ruiz Perez
• Enrique Ruiz, PA-C
• Patricia D Ruiz
• Miriam Rusindo Bermudez, APRN
• Dawn Russi, ARNP
• Hanna Elaine Russo
• RX Imaging of SWFL LLC
• RX Imaging of SWFL LLC
• RX Imaging of SWFL, LLC
• Lidia E Ryan

• Professional Counselor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.