Active NPI
Danielle M Russo, MFTA
- Marriage & Family Therapist
- Tuscaloosa, AL
National Provider Identifier
1730668781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- A210
- Practice address
- 2825 7TH St
Tuscaloosa, AL 35401-1807 - Phone
- (205) 718-0538
- NPI assigned
- Aug 10, 2018
- Last updated
- Feb 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | A210 | AL | Primary |
Addresses
Primary practice location
2825 7TH St
Tuscaloosa, AL 35401-1807
Mailing address
2825 7TH St
Tuscaloosa, AL 35401-1807
Phone (205) 718-0538
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 |
|---|---|---|---|
| A210 | AL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Leaf Child and Family Therapy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tuscaloosa, AL
- NPI 1194293712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582329600000",
"number": "1730668781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 7TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011807",
"telephone_number": "205-718-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 7TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354011807",
"telephone_number": "205-718-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "DANIELLE",
"middle_name": "M",
"credential": "MFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-10",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "A210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.