KATHRYN RUSSO
NPI 1598156929
Counselor - Mental Health in Norcross, GA
About Kathryn Russo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN RUSSO (NPI 1598156929) is an individual mental health provider in Norcross, Georgia, licensed in Georgia (APC003761) and active in the NPI registry since February 2015. She has opted out of Medicare through April 8, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kathryn Russo 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 April 8, 2024 through April 8, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathryn Russo's NPI number?
The NPI number for Kathryn Russo is 1598156929. It was assigned to this individual provider in the NPPES registry on February 6, 2015.
Where is Kathryn Russo located?
Kathryn Russo practices at 4725 Peachtree Corners Cir Suite 385, Norcross, GA 30092. The listed phone number is (770) 676-7748.
What is Kathryn Russo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kathryn Russo enrolled in Medicare?
No. Kathryn Russo has opted out of Medicare through April 8, 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 Kathryn Russo was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kathryn Russo · NPI 1598156929
Mental Health provider in Norcross, Georgia. Individual provider, active in the CMS NPPES registry since February 6, 2015.
## Identity
- **NPI:** 1598156929 (Entity type: Individual)
- **Enumerated:** February 6, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** APC003761 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4725 PEACHTREE CORNERS CIR, SUITE 385, Norcross, GA 30092-2571
- **Phone:** (770) 676-7748
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 8, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1598156929) · Data from the CMS NPPES public registry.