Active NPI
Helana M Russo, LPC,LCADC
- Professional Counselor
- Egg Harbor TWP, NJ
National Provider Identifier
1730634775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37LP00747500
- Practice address
- 616 Seabreeze Ave
Egg Harbor TWP, NJ 08234-9674 - Phone
- (609) 365-0909
- NPI assigned
- Aug 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00241600 | NJ | |
| Professional Counselor | 101YP2500X | 37LP00747500 | NJ | Primary |
Addresses
Primary practice location
616 Seabreeze Ave
Egg Harbor TWP, NJ 08234-9674
Mailing address
36 Davis Rd
Salem, NJ 08079
Phone (609) 365-0909
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00241600 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37LP00747500 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615075200000",
"number": "1730634775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 DAVIS RD",
"city": "SALEM",
"state": "NJ",
"postal_code": "08079",
"telephone_number": "609-365-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 SEABREEZE AVE",
"city": "EGG HARBOR TWP",
"state": "NJ",
"postal_code": "082349674",
"telephone_number": "609-365-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "HELANA",
"middle_name": "M",
"credential": "LPC,LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2021-03-07",
"certification_date": "2021-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00241600",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37LP00747500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Egg Harbor TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.