MS. KATHLEEN RUSS MA
NPI 1811292725
Marriage & Family Therapist in Santa Cruz, CA

Q: What is Kathleen Russ's NPI number?

The NPI number for Kathleen Russ is 1811292725. It was assigned to this individual provider in the NPPES registry on January 24, 2011.

Q: What is Kathleen Russ's specialty?

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

Q: Is Kathleen Russ enrolled in Medicare?

No. Kathleen Russ has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Russ was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 24, 2011Opted out of Medicare · through Jan 1, 2028

104 WALNUT AVE STE 208, SANTA CRUZ, CA 95060(831) 423-9444 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Kathleen Russ Ma NPPES

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

MS. KATHLEEN RUSS MA (NPI 1811292725) is an individual marriage & family therapist in Santa Cruz, California, licensed in California (64202) and active in the NPI registry since January 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1811292725

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. KATHLEEN RUSSCredential: MA

Location Address104 WALNUT AVE STE 208Santa Cruz, CA 95060-3929

Mailing AddressPo Box 1863Los Gatos, CA 95031-1863 · (408) 219-2467

Phone(831) 423-9444

Sole ProprietorYes

Enumeration DateJanuary 24, 2011

✔ NPI 1811292725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 64202

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.

104 WALNUT AVE STE 208, Santa Cruz, CA 95060

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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

Ms. Kathleen Russ Ma 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DANIEL CHRISTOPHER DAILEY LMFT

Marriage & Family Therapist