ANTHONY RUSSO LPC
NPI 1720386626
Counselor - Professional in King Of Prussia, PA

Q: What is Anthony Russo's NPI number?

The NPI number for Anthony Russo is 1720386626. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Q: What is Anthony Russo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Russo was last updated on June 26, 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.

Active since March 02, 2011PECOS EnrolledAccepts Medicare Assignment

357 S GULPH RD STE 260, KING OF PRUSSIA, PA 19406(610) 892-3800(484) 468-1412 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 15, 2023, Apr 13, 2023 (2 updates tracked since 2023).

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About Anthony Russo Lpc NPPES

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

ANTHONY RUSSO LPC (NPI 1720386626) is an individual professional provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (PC014291) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720386626

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameANTHONY RUSSOCredential: LPC

Location Address357 S GULPH RD STE 260King Of Prussia, PA 19406-3739

Mailing Address357 S Gulph Rd Ste 260King Of Prussia, PA 19406-3739 · (610) 892-3800 · Fax (484) 468-1412

Phone(610) 892-3800

Fax(484) 468-1412

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 2, 2011

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1720386626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC014291

357 S GULPH RD STE 260, King Of Prussia, PA 19406

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Secondary Practice Locations 2

Location 11235 Pine StPhiladelphia, PA 19107-5945 · Phone (215) 735-9379

Location 21005 W 9th Ave Ste BKing Of Prussia, PA 19406-1202 · Phone (610) 892-3800 · Fax (484) 704-7198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Russo Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759726672

PECOS Enrollment IDI20240301002458

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 14

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

THOMAS W YOKOYAMA MA, LCPC, LPC

Counselor (Professional)