BONNIE RUSSO LCSW, QS
NPI 1366922288
Counselor - Mental Health in Port Saint Lucie, FL

Q: What is Bonnie Russo's NPI number?

The NPI number for Bonnie Russo is 1366922288. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Q: What is Bonnie Russo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonnie Russo was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 20, 2018PECOS EnrolledAccepts Medicare Assignment

1729 NW SAINT LUCIE WEST BLVD # 1276, PORT SAINT LUCIE, FL 34986(561) 412-9281(620) 522-8594 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2025, Jun 12, 2023, Apr 11, 2023 and 2 more (5 updates tracked since 2018).

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About Bonnie Russo Lcsw, Qs NPPES

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

BONNIE RUSSO LCSW, QS (NPI 1366922288) is an individual mental health provider in Port Saint Lucie, Florida, licensed in Florida (SW15096) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1366922288

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBONNIE RUSSOCredential: LCSW, QS

Location Address1729 NW SAINT LUCIE WEST BLVD # 1276Port Saint Lucie, FL 34986-2501

Mailing Address1729 Nw Saint Lucie West Blvd # 1276Port Saint Lucie, FL 34986-2501 · (561) 412-9281 · Fax (620) 522-8594

Phone(561) 412-9281

Fax(620) 522-8594

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 20, 2018

Last NPPES UpdateNovember 25, 20255 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1366922288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · SW15096

Also ListedSocial WorkerTaxonomy 104100000X · License SW15096 (FL)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW15096 (FL)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License SW15096 (FL)

1729 NW SAINT LUCIE WEST BLVD # 1276, Port Saint Lucie, FL 34986

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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

Bonnie Russo Lcsw, Qs 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 ID4688030414

PECOS Enrollment IDI20230519001509

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

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

KAITLYN LAND M.A.

Counselor (Mental Health)

1729 NW SAINT LUCIE WEST BLVD # 1276
PORT SAINT LUCIE, FL 34986

St. Lucie County (863) 623-8500

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 Bonnie Russo's NPI number?

The NPI number for Bonnie Russo is 1366922288. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Bonnie Russo located?

Bonnie Russo practices at 1729 NW Saint Lucie West Blvd # 1276, Port Saint Lucie, FL 34986. The listed phone number is (561) 412-9281.

What is Bonnie Russo's specialty?

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

Is Bonnie Russo enrolled in Medicare?

Yes. Bonnie 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.

What insurance does Bonnie Russo accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Bonnie 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 Bonnie Russo was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.