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

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: November 08, 2026.

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

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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Delaware County Professional Services, Inc
12 mi
Psychiatry
1055 E BALTIMORE PIKE STE 303
Media, PA 19063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 353 clinicians in this Medicare group
NPI 1952485864 (610) 892-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
357 S GULPH RD STE 260
KING OF PRUSSIA, PA 19406
Montgomery County (253) 254-5911
CLAIRE MYERS LPC
Counselor (Professional)
357 S GULPH RD STE 260
KING OF PRUSSIA, PA 19406
Montgomery County (610) 892-3800
JEFFREY MARSHALL LPC
Counselor (Professional)
357 S GULPH RD STE 260
KING OF PRUSSIA, PA 19406
Montgomery County (610) 892-3800
BEVERLY COLTON FOX LPC
Counselor (Professional)
357 S GULPH RD STE 260
KING OF PRUSSIA, PA 19406
Montgomery County (610) 892-3800
KELLY JUNCO LAPC
Counselor (Professional)
357 S GULPH RD STE 260
KING OF PRUSSIA, PA 19406
Montgomery County (484) 468-1407
ALICIA LAURO LPC
Counselor (Professional)
357 S GULPH RD STE 260
KING OF PRUSSIA, PA 19406
Montgomery County (000) 000-0000
YUHAN WANG
Counselor (Professional)
357 S GULPH RD STE 260
KING OF PRUSSIA, PA 19406
Montgomery County (855) 460-1630
AMANDA JEAN MULLERY NCC, LPC
Counselor (Professional)
357 S GULPH RD STE 260
KING OF PRUSSIA, PA 19406
Montgomery County (610) 892-3800

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 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.

Where is Anthony Russo located?

Anthony Russo practices at 357 S Gulph Rd Ste 260, King Of Prussia, PA 19406. The listed phone number is (610) 892-3800.

What is Anthony Russo's specialty?

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

Is Anthony Russo enrolled in Medicare?

Yes. Anthony Russo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anthony Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Russo reassigns Medicare benefits to Delaware County Professional Services, Inc (Media, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 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.