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KATHLEEN RUSSO LMHC
NPI 1487203105
Counselor - Mental Health in Keene, NH

Active since September 05, 2019PECOS Enrolled

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2026, Feb 7, 2024, Jan 12, 2022 and 1 more (4 updates tracked since 2019).

About Kathleen Russo Lmhc NPPES

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

KATHLEEN RUSSO LMHC (NPI 1487203105) is an individual mental health provider in Keene, New Hampshire, licensed in New Hampshire (5683) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487203105
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN RUSSOCredential: LMHC
Location Address40 AVON STKeene, NH 03431-3516
Mailing Address64 Main StKeene, NH 03431-3701 · (603) 357-4400
Phone(603) 357-4400
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 5, 2019
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1487203105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NH · 5683✔ Licensed in MA · 11356
40 AVON ST, Keene, NH 03431
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Russo Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375026537
PECOS Enrollment IDI20260316002149
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.

LORI LOHRMANN MA
Counselor (Mental Health)
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
NICOLE BELONGA
Case Management
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
KAITLYN DUFFELMEYER
Specialist
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
EDGARDO A LAGARES
Case Manager/Care Coordinator
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
JULIANA GABRIEL
Specialist
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
SOPHIA R WIGGIN
Specialist
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
JEREMY TODD MITCHELL
Case Manager/Care Coordinator
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400
MRS. MELANIE DORLEEN DIEHL
Counselor (Mental Health)
40 AVON ST
KEENE, NH 03431
Cheshire County (603) 357-4400

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 Kathleen Russo's NPI number?

The NPI number for Kathleen Russo is 1487203105. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Kathleen Russo located?

Kathleen Russo practices at 40 Avon St, Keene, NH 03431. The listed phone number is (603) 357-4400.

What is Kathleen Russo's specialty?

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

Is Kathleen Russo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathleen Russo was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.