Nancy Russo, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6919 Issued in FL

Practice address

330 Kay Larkin Dr
Palatka, FL 32177-2307

Phone

(386) 385-1243

NPI assigned

Jul 1, 2005

Last updated

Feb 18, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: nancy.russo.p1@direct.smahealthcare.nextgenshare.com

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.

• Sma Healthcare Inc

  • Psychiatric Hospital
  • Daytona Beach, FL
  • NPI 1750369666
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1881691087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307",
            "telephone_number": "386-385-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KAY LARKIN DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321772307",
            "telephone_number": "386-385-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019791100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rural Health Care, Inc. (Aza Health)
• Rural Health Care, Inc. (Aza Health)
• Rural Health Care, Incorporated (Aza Health)
• Audrey M Russell, PHARMACY TECH
• Kathleen Anne Russell, ARNP-BC
• S S Marathe MD PA (Medical Specialists PA)
• Sacred Trust Healthcare Services LLC (Sacred Trust Healthcare)
• Jennifer L. Sadler, L.P.N.
• Virginia T Saldajeno, RPH
• Saltzman, Tanis, Pittel, Levin and Jacobson, LLC (Pediatric Associates)

• Mental Health Counselor in Palatka, FL
• Providers in Palatka, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.