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MS. KRISTINA LEA RUSSO M.A. L.M.H.C.
NPI 1184924292
Counselor - Professional in Brockton, MA

Active since October 25, 2010PECOS Enrolled
10 MEADOWBROOK RD, BROCKTON, MA 02301(508) 742-4400(508) 408-6192 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kristina Lea Russo M.a. L.m.h.c. NPPES

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

MS. KRISTINA LEA RUSSO M.A. L.M.H.C. (NPI 1184924292) is an individual professional provider in Brockton, Massachusetts, licensed in Massachusetts (5692) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184924292
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KRISTINA LEA RUSSOCredential: M.A. L.M.H.C.
Location Address10 MEADOWBROOK RDBrockton, MA 02301-7122
Mailing Address10 Meadowbrook RdBrockton, MA 02301-7122 · (508) 742-4400 · Fax (508) 408-6192
Phone(508) 742-4400
Fax(508) 408-6192
Sole ProprietorYes
Enumeration DateOctober 25, 2010
Last NPPES UpdateJune 8, 2016
✔ NPI 1184924292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MA · 5692
10 MEADOWBROOK RD, Brockton, MA 02301
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Other Names 1

Former Name (1)Ms. Kristina Lea Klawitter M.a. L.m.h.c.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kristina Lea Russo M.a. L.m.h.c. 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.

Other Providers at the Same Location NPPES 20

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

GEORGE BAILEY
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (857) 269-8338
PAULA MARIE TURCOTTE
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8448
JASPER P LAFRENIERE BA
Social Worker
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 580-0801
MATTHEW LIVINGSTON
Counselor
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8337
MARIE D DESVALLONS-ANDRE
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8448
VICTORIA JOSEPH
Counselor (Mental Health)
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (617) 417-0668
BONITA CARRASQUILLO
Counselor (Addiction (Substance Use Disorder))
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (774) 213-8448
MR. TIMOTHY WILLIAM CORLISS MSW
Social Worker
10 MEADOWBROOK RD
BROCKTON, MA 02301
Plymouth County (508) 894-4945

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 Kristina Russo's NPI number?

The NPI number for Kristina Russo is 1184924292. It was assigned to this individual provider in the NPPES registry on October 25, 2010. The provider is also known as Ms. Kristina Lea Klawitter M.A. L.M.H.C..

Where is Kristina Russo located?

Kristina Russo practices at 10 Meadowbrook Rd, Brockton, MA 02301. The listed phone number is (508) 742-4400.

What is Kristina Russo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristina Russo enrolled in Medicare?

Yes. Kristina Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristina Russo was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.