RENEE NICOLE RUSSO MA, LPC
NPI 1104374776
Counselor - Professional in Kalamazoo, MI
About Renee Nicole Russo Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEE NICOLE RUSSO MA, LPC (NPI 1104374776) is an individual professional provider in Kalamazoo, Michigan and active in the NPI registry since September 2016. She has opted out of Medicare through October 2, 2026.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Renee Nicole Russo Ma, Lpc 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 October 2, 2024 through October 2, 2026.
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 Renee Russo's NPI number?
The NPI number for Renee Russo is 1104374776. It was assigned to this individual provider in the NPPES registry on September 13, 2016.
Where is Renee Russo located?
Renee Russo practices at 5360 Holiday Ter Ste 16A, Kalamazoo, MI 49009. The listed phone number is (269) 224-2339.
What is Renee Russo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Renee Russo enrolled in Medicare?
No. Renee Russo has opted out of Medicare through October 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Renee Russo accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Renee Russo 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 Renee Russo was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Renee Nicole Russo, MA, LPC · NPI 1104374776
Professional provider in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since September 13, 2016.
## Identity
- **NPI:** 1104374776 (Entity type: Individual)
- **Enumerated:** September 13, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 5360 HOLIDAY TER STE 16A, Kalamazoo, MI 49009-2126
- **Phone:** (269) 224-2339
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 2, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104374776) · Data from the CMS NPPES public registry.