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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: October 18, 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
Phone(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
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Other Names 1

Professional Name (2)Leah Av Russack-baker Ladc

Other Identifiers 1

Medicaid1730336439CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Leah Russack-baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Natchaug Hospital, Inc.
32 mi
Psychiatric Hospital
189 STORRS ROAD
Mansfield Center, CT 06250
  • Reassigned Medicare billing, Connecticut enrollment
  • 200 clinicians in this Medicare group
NPI 1295811321 (860) 456-1311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Visited this provider? Share your experience.

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.

DR. RICHARD P. BENOIT D.M.D.
Dentist (General Practice)
123 ELM ST, SUITE # 900
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-0242
LIFE LONG DENTAL CARE
Dentist (General Practice)
123 ELM ST, SUITE 900
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-0242
DR. EUGENE M CLIFFORD DDS
Dentist (General Practice)
123 ELM ST, SUITE 900
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-0242
BRANDY CASH RDH
Dental Hygienist
123 ELM ST, 900
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 388-0242

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.

Which organization bills Medicare for Leah Russack-baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Russack-baker reassigns Medicare benefits to Natchaug Hospital, Inc. (Mansfield Center, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leah Russack-baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 16 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.