SARAH MACKENZIE RUSSO MA, LPCC, R-DMT
NPI 1285506709
Counselor - Mental Health in Boulder, CO

Active since September 23, 2025
5105 WILLIAMS FORK TRL, BOULDER, CO 80301(203) 809-7108 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sarah Mackenzie Russo Ma, Lpcc, R-dmt NPPES

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

SARAH MACKENZIE RUSSO MA, LPCC, R-DMT (NPI 1285506709) is an individual mental health provider in Boulder, Colorado, licensed in Colorado (LPCC.0023662) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1285506709
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARAH MACKENZIE RUSSOCredential: MA, LPCC, R-DMT
Location Address5105 WILLIAMS FORK TRLBoulder, CO 80301-3418
Mailing Address5105 Williams Fork TrlBoulder, CO 80301-3418 · (203) 809-7108
Sole ProprietorNo
Enumeration DateSeptember 23, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 23, 2025
NPI 1285506709 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 CO · LPCC.0023662
5105 WILLIAMS FORK TRL, Boulder, CO 80301

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 Sarah Russo's NPI number?

The NPI number for Sarah Russo is 1285506709. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Sarah Russo located?

Sarah Russo practices at 5105 Williams Fork Trl, Boulder, CO 80301. The listed phone number is (203) 809-7108.

What is Sarah 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 Sarah Russo was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.