SUSAN J RUSSO (NPI# 1497197081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497197081 |
| Entity Type | Individual |
| Full Name | SUSAN J RUSSO |
| Practice Address |
1756 S Lewis Rd Camarillo CA 93012-8520 |
| Mailing Address |
1050 Fulton Ave Ste 235 Sacramento CA 95825-4299 |
| Practice Telephone | 8053833669 |
| Practice Fax Number | 8053833692 |
| Mailing Telephone | 9166149539 |
| Mailing Fax Number | 8053833692 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TELECARE | 1518176379 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538292982 | Susan K Russo | Counselor | 36 State Rd. 522, #6, El Prado, NM 87529 | 2007-03-14 |
| 1194368472 | Susan Eleanora Russo | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2019-10-19 |
| 1710342381 | Susan Russo | Speech-Language Pathologist | 6 Logans Way, Hopewell Junction, NY 12533-3402 | 2015-12-23 |
| 1073944534 | Susan Russo | Nurse Practitioner | 1301 Barbara Jordan Blvd, Suite 200, Austin, TX 78723-3077 | 2013-12-10 |
| 1992947642 | Susan Marie Russo | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2009-03-26 |
| 1255477196 | Susan T Russo | Nurse Practitioner | 1970 E 3rd Ave, Unit 1, Durango, CO 81301-5056 | 2007-01-29 |
| 1063575314 | Susan D Russo | Counselor | 7272 Wurzbach Rd, Suite 601, San Antonio, TX 78240-4801 | 2006-12-18 |
| 1962493866 | Susan Lee Russo | Advanced Practice Midwife | 4001 Fair Ridge Dr, Suite 303, Fairfax, VA 22033-2917 | 2005-10-31 |
| Street Address |
1756 S LEWIS RD |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609925577 | Dianna Oliver | Specialist | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2007-01-09 |
| 1457978124 | Wendy Pamela Cruz Villatoro | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1639796394 | Carmelo Israel Lopez | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1295352961 | April Del Rosario | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1285251959 | Michelle White | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1063039741 | Juanita Ruiz | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1104443860 | Beverly Donate | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-29 |
| 1871118877 | Stefania Hernandez Martinez | Case Manager/Care Coordinator | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-06-15 |
| 1902377682 | David Alexander Ramos | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2018-12-06 |
| 1871077677 | Lauren Sansone | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674342 | Pia Shari Jacoby | Marriage & Family Therapist | 41005 Village 41, Camarillo, CA 93012-5671 | 2020-03-21 |
| 1841750080 | Gwendolyn Sheila Bleu | Marriage & Family Therapist | 3975 Vincente Ave, Camarillo, CA 93010-2449 | 2019-03-22 |
| 1194208595 | Sarah Pearl | Marriage & Family Therapist | 1601 Carmen Dr Ste 211, Camarillo, CA 93010-3103 | 2018-09-11 |
| 1881181949 | Michelle Lee Williams | Marriage & Family Therapist | 360 Mobil Ave Ste 218b, Camarillo, CA 93010-6374 | 2018-04-15 |
| 1427505759 | Barbara Freie | Marriage & Family Therapist | 484 Mobil Ave Ste 13, Camarillo, CA 93010-6361 | 2016-09-02 |
| 1639553407 | Timothy Hall | Marriage & Family Therapist | 120 Estaban Dr, Camarillo, CA 93010-1611 | 2015-07-12 |
| 1275910143 | Leslie Elizabeth Miranda | Marriage & Family Therapist | 1601 Carmen Dr Ste 102, Camarillo, CA 93010-3103 | 2015-04-29 |
| 1366839409 | Albert P Bright | Marriage & Family Therapist | 743 Arneill Rd, Camarillo, CA 93010-4743 | 2015-04-15 |
| 1922493790 | Roundtable Counseling, Inc. | Marriage & Family Therapist | 1000 Paseo Camarillo # 223, Camarillo, CA 93010-6021 | 2015-03-30 |
| 1417355801 | Yasmin Flores | Marriage & Family Therapist | 400 Mobil Ave # D29, Camarillo, CA 93010-6338 | 2014-12-17 |
| Find all providers in CAMARILLO | ||||
Please comment or provide details below to improve the information on SUSAN J RUSSO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.