PATRICIA RENEE RUSSO
NPI 1114656212
Counselor - Mental Health in Tonawanda, NY

Active since June 06, 2022PECOS EnrolledAccepts Medicare Assignment
100 NIAGARA ST, TONAWANDA, NY 14150(716) 831-1850 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2022, Jun 6, 2022 (2 updates tracked since 2022).

About Patricia Renee Russo NPPES

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

PATRICIA RENEE RUSSO (NPI 1114656212) is an individual mental health provider in Tonawanda, New York, licensed in New York (015556) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114656212
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePATRICIA RENEE RUSSO
Location Address100 NIAGARA STTonawanda, NY 14150-1104
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 6, 2022
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1114656212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 015556
100 NIAGARA ST, Tonawanda, NY 14150

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Patricia Renee Russo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608306733
PECOS Enrollment IDI20250205000861
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.

Other Providers at the Same Location NPPES 15

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

Social Worker (Clinical)
100 NIAGARA ST
TONAWANDA, NY 14150
Social Worker
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Student in an Organized Health Care Education/Training Program
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150

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 Patricia Russo's NPI number?

The NPI number for Patricia Russo is 1114656212. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Patricia Russo located?

Patricia Russo practices at 100 Niagara St, Tonawanda, NY 14150. The listed phone number is (716) 831-1850.

What is Patricia Russo's specialty?

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

Is Patricia Russo enrolled in Medicare?

Yes. Patricia Russo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patricia Russo was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.