CARRIE ANNE RUSSO
NPI 1093657892
Counselor - Mental Health in West Melbourne, FL

Active since April 08, 2026
630 S WICKHAM RD STE 107, WEST MELBOURNE, FL 32904(321) 608-0604 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carrie Anne Russo NPPES

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

CARRIE ANNE RUSSO (NPI 1093657892) is an individual mental health provider in West Melbourne, Florida and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1093657892
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARRIE ANNE RUSSO
Location Address630 S WICKHAM RD STE 107West Melbourne, FL 32904-1429
Mailing Address1181 Palo Alto St SePalm Bay, FL 32909-7208 · (401) 602-8412
Sole ProprietorNo
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
NPI 1093657892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
630 S WICKHAM RD STE 107, West Melbourne, FL 32904

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
630 S WICKHAM RD STE 107
WEST MELBOURNE, FL 32904
Social Worker (Clinical)
630 S WICKHAM RD STE 107
WEST MELBOURNE, FL 32904
Counselor (Mental Health)
630 S WICKHAM RD STE 107
WEST MELBOURNE, FL 32904
Counselor (Mental Health)
630 S WICKHAM RD STE 107
WEST MELBOURNE, FL 32904
Social Worker (Clinical)
630 S WICKHAM RD STE 107
WEST MELBOURNE, FL 32904

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 Carrie Russo's NPI number?

The NPI number for Carrie Russo is 1093657892. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Carrie Russo located?

Carrie Russo practices at 630 S Wickham Rd Ste 107, West Melbourne, FL 32904. The listed phone number is (321) 608-0604.

What is Carrie Russo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Carrie Russo was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.