ALEX JULES RUSSAN LMFT
NPI 1033801642
Marriage & Family Therapist in Santa Monica, CA
About Alex Jules Russan Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEX JULES RUSSAN LMFT (NPI 1033801642) is an individual marriage & family therapist in Santa Monica, California, licensed in California (154137) and active in the NPI registry since May 2023. He has opted out of Medicare through November 27, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Alex Jules Russan Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 27, 2025 through November 27, 2027.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alex Russan's NPI number?
The NPI number for Alex Russan is 1033801642. It was assigned to this individual provider in the NPPES registry on May 23, 2023.
Where is Alex Russan located?
Alex Russan practices at 2665 30th St, Santa Monica, CA 90405. The listed phone number is (310) 439-8251.
What is Alex Russan's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Alex Russan enrolled in Medicare?
No. Alex Russan has opted out of Medicare through November 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Alex Russan was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alex Jules Russan, LMFT · NPI 1033801642
Marriage & Family Therapist provider in Santa Monica, California. Individual provider, active in the CMS NPPES registry since May 23, 2023.
## Identity
- **NPI:** 1033801642 (Entity type: Individual)
- **Enumerated:** May 23, 2023
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 154137 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2665 30TH ST, Santa Monica, CA 90405-3063
- **Phone:** (310) 439-8251
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 27, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033801642) · Data from the CMS NPPES public registry.