COLLEEN RUSSELL LMFT
NPI 1396052916
Marriage & Family Therapist in San Anselmo, CA

Active since September 02, 2010Opted out of Medicare · through Jan 1, 2028
508 SAN ANSELMO AVE, SUITE 1B, SAN ANSELMO, CA 94960(415) 785-3513 Get Directions Write a Review

NPPES record last updated: June 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colleen Russell Lmft NPPES

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

COLLEEN RUSSELL LMFT (NPI 1396052916) is an individual marriage & family therapist in San Anselmo, California, licensed in California (MFC29249) and active in the NPI registry since September 2010. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1396052916
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCOLLEEN RUSSELLCredential: LMFT
Location Address508 SAN ANSELMO AVE, SUITE 1BSan Anselmo, CA 94960-2632
Mailing AddressPo Box 445Forest Knolls, CA 94933-0445 · (415) 785-3513 · Fax (415) 594-0857
Sole ProprietorYes
Enumeration DateSeptember 2, 2010
Last NPPES UpdateJune 10, 2013
NPI 1396052916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC29249
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

508 SAN ANSELMO AVE, San Anselmo, CA 94960

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Colleen Russell Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
508 SAN ANSELMO AVE, SUITE 1
SAN ANSELMO, CA 94960

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 Colleen Russell's NPI number?

The NPI number for Colleen Russell is 1396052916. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Colleen Russell located?

Colleen Russell practices at 508 San Anselmo Ave Suite 1B, San Anselmo, CA 94960. The listed phone number is (415) 785-3513.

What is Colleen Russell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Colleen Russell enrolled in Medicare?

No. Colleen Russell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Colleen Russell was last updated on June 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.