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ELIZABETH RUSSO
NPI 1639616212
Marriage & Family Therapist in San Bernardino, CA

Active since January 20, 2017
621 CARNEGIE DR STE 210, SAN BERNARDINO, CA 92408(909) 386-9762 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Mar 31, 2026, Oct 28, 2020 and 2 more (5 updates tracked since 2017).

About Elizabeth Russo NPPES

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

ELIZABETH RUSSO (NPI 1639616212) is an individual marriage & family therapist in San Bernardino, California, licensed in California (LMFT143853) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1639616212
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELIZABETH RUSSO
Location Address621 CARNEGIE DR STE 210San Bernardino, CA 92408-3548
Mailing Address621 Carnegie Dr Ste 210San Bernardino, CA 92408-3548
Phone(909) 386-9762
Sole ProprietorNo
Enumeration DateJanuary 20, 2017
Last NPPES UpdateApril 28, 20265 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1639616212 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 CA · LMFT143853✔ Licensed in CA · AMFT120953
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 ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-15-07640 (CA)
621 CARNEGIE DR STE 210, San Bernardino, CA 92408
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Other Names 1

Former Name (1)Elizabeth Antunez

Other Providers at the Same Location NPPES 2

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

MARLENE RANGEL
Rehabilitation Practitioner
621 CARNEGIE DR STE 210
SAN BERNARDINO, CA 92408
San Bernardino County (909) 386-9737
STELLA TAN
Social Worker (Clinical)
621 CARNEGIE DR STE 210
SAN BERNARDINO, CA 92408
San Bernardino County (000) 000-0000

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 Elizabeth Russo's NPI number?

The NPI number for Elizabeth Russo is 1639616212. It was assigned to this individual provider in the NPPES registry on January 20, 2017. The provider is also known as Elizabeth Antunez.

Where is Elizabeth Russo located?

Elizabeth Russo practices at 621 Carnegie Dr Ste 210, San Bernardino, CA 92408. The listed phone number is (909) 386-9762.

What is Elizabeth Russo's specialty?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Russo was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.