Active NPI
Francesca Russo
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1750010377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012334-01
- Practice address
- 574 Atlantic Ave
Brooklyn, NY 11217-4954 - Phone
- (512) 289-1378
- NPI assigned
- Jun 8, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 012334-01 | NY | Primary |
Addresses
Primary practice location
574 Atlantic Ave
Brooklyn, NY 11217-4954
Mailing address
1060 Seneca Ave
Ridgewood, NY 11385-5811
Phone (512) 289-1378
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 |
|---|---|---|---|
| 012334-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1750010377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 SENECA AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855811",
"telephone_number": "512-289-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "574 ATLANTIC AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174954",
"telephone_number": "512-289-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "FRANCESCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012334-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.