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MRS. GIANNA NICOLE RUSSO-MITMA M.S., LMFT
NPI 1639589096
Marriage & Family Therapist in Salem, OR

Active since May 06, 2014Opted out of Medicare · through Mar 26, 2028
2355 STATE ST STE 101, SALEM, OR 97301(702) 706-1811 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Apr 19, 2024, Nov 10, 2020, Nov 17, 2017 (3 updates tracked since 2017).

About Mrs. Gianna Nicole Russo-mitma M.s., Lmft NPPES

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

MRS. GIANNA NICOLE RUSSO-MITMA M.S., LMFT (NPI 1639589096) is an individual marriage & family therapist in Salem, Oregon, licensed in Oregon (T1319) and active in the NPI registry since May 2014. She has opted out of Medicare through March 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639589096
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. GIANNA NICOLE RUSSO-MITMACredential: M.S., LMFT
Location Address2355 STATE ST STE 101Salem, OR 97301-4541
Mailing Address2355 State St Ste 101Salem, OR 97301-4541 · (702) 706-1811
Phone(702) 706-1811
Sole ProprietorNo
Enumeration DateMay 6, 2014
Last NPPES UpdateApril 19, 20243 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1639589096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in OR · T1319✔ Licensed in NV · MI0511
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2355 STATE ST STE 101, Salem, OR 97301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Gianna Nicole Russo-mitma M.s., 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 March 26, 2024 through March 26, 2028.

Opt-Out Effective DateMarch 26, 2024
Opt-Out In Effect ThroughMarch 26, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

CLARA FISHER
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (424) 431-1018
NIRIT STEPHENS
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (808) 796-9632
BEYOUNKA BONNER
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (470) 992-2796
LORINDA LEE SANDERS LCSW
Social Worker (Clinical)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (208) 550-0834
LAUREN MULLINS
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (503) 928-6778
JORDIN DANIELSON
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (971) 202-1269
KOSMOS PSYCHOLOGY
Psychologist
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (503) 714-1144
JADE LA BRIE
Health and Wellness Coach
2355 STATE ST STE 101
SALEM, OR 97301
Marion County (503) 812-5638

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 Gianna Russo-mitma's NPI number?

The NPI number for Gianna Russo-mitma is 1639589096. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Gianna Russo-mitma located?

Gianna Russo-mitma practices at 2355 State St Ste 101, Salem, OR 97301. The listed phone number is (702) 706-1811.

What is Gianna Russo-mitma's specialty?

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

Is Gianna Russo-mitma enrolled in Medicare?

No. Gianna Russo-mitma has opted out of Medicare through March 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gianna Russo-mitma was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.