MR. KYLE RUSSO MA LCMHC NPI 1184197428

NPI Information

  • NPI: 1184197428
  • Provider Name: MR. KYLE RUSSO, MA, LCMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 9 CEDARWOOD DR UNIT 10
    BEDFORD, NH
    ZIP 03110
  • Phone: (603) 255-3877

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NPI Details

MR. Kyle Russo, MA, LCMHC is a mental health counselor in Bedford, NH. MR. Kyle Russo, MA, LCMHC NPI is 1184197428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9 CEDARWOOD DR UNIT 10
BEDFORD, NH
ZIP 03110-801
Phone: (603) 255-3877

The enumeration date for this NPI number is 1/9/2019 and was last updated on 11/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes
2175T00000XPeer SpecialistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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