LEAH AV RUSSACK-BAKER LADC
NPI 1073822789
Counselor - Addiction (Substance Use Disorder) in Old Saybrook, CT

Active since September 29, 2010PECOS Enrolled
123 ELM ST, OLD SAYBROOK, CT 06475(860) 395-1264 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leah Av Russack-baker Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH AV RUSSACK-BAKER LADC (NPI 1073822789) is an individual addiction (substance use disorder) provider in Old Saybrook, Connecticut, licensed in Connecticut (03-973340) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073822789
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLEAH AV RUSSACK-BAKERCredential: LADC
Location Address123 ELM STOld Saybrook, CT 06475
Mailing Address123 Elm StOld Saybrook, CT 06475-4108 · (860) 395-1264
Sole ProprietorNo
Enumeration DateSeptember 29, 2010
NPI 1073822789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CT · 03-973340
123 ELM ST, Old Saybrook, CT 06475

Other Names 1

Professional Name (2)Leah Av Russack-baker Ladc

Other Identifiers 1

Medicaid1730336439CT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leah Av Russack-baker Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Leslie ***** January 8, 2024

5/5
Leah is a gem. I consider it an honor to be able to work with her. She’s very open & approachable; she has great energy and helps her clients feel “at home” with her. If you have the opportunity to work with her, you’ll be very pleased.
Provider 5/5 Office Staff 5/5
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
123 ELM ST, SUITE # 900
OLD SAYBROOK, CT 06475
Dentist (General Practice)
123 ELM ST, SUITE 900
OLD SAYBROOK, CT 06475
Dentist (General Practice)
123 ELM ST, SUITE 900
OLD SAYBROOK, CT 06475
Dental Hygienist
123 ELM ST, 900
OLD SAYBROOK, CT 06475

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 Leah Russack-baker's NPI number?

The NPI number for Leah Russack-baker is 1073822789. It was assigned to this individual provider in the NPPES registry on September 29, 2010. The provider is also known as Leah Av Russack-Baker Ladc.

Where is Leah Russack-baker located?

Leah Russack-baker practices at 123 Elm St, Old Saybrook, CT 06475. The listed phone number is (860) 395-1264.

What is Leah Russack-baker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Leah Russack-baker enrolled in Medicare?

Yes. Leah Russack-baker is registered in the Medicare PECOS enrollment system.

What insurance does Leah Russack-baker accept?

Health plans from Providence Health Plan list Leah Russack-baker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leah Russack-baker was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.