MRS. GIANNA NICOLE RUSSO-MITMA M.S., LMFT
NPI 1639589096
Marriage & Family Therapist in Salem, OR
NPI Status: Active since May 06, 2014
Contact Information
2355 STATE ST STE 101
SALEM, OR
ZIP 97301
Phone: (702) 706-1811
- Individual
- Female
- Marriage & Family Therapist
- PECOS Enrolled
- Opted-Out Medicare
About GIANNA RUSSO-MITMA
This page provides the complete NPI Profile along with additional information for Gianna Russo-mitma, a provider established in Salem, Oregon with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1639589096 assigned on May 2014. The practitioner's primary taxonomy code is 106H00000X with license number T1319 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1639589096
- Provider Name
- MRS. GIANNA NICOLE RUSSO-MITMA M.S., LMFT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2355 STATE ST STE 101 SALEM, OR 97301
- Location Phone
- (702) 706-1811
- Mailing Address
- 2355 STATE ST STE 101 SALEM, OR 97301
- Mailing Phone
- (702) 706-1811
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-06-2014
- Last Update Date
- 04-19-2024
- Code Navigator
A marriage and family therapist like Gianna Russo-mitma help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Gianna Russo-mitma opted out of Medicare effective on 03-26-2024 until 03-26-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- T1319
- License State
- OR
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | MI0511 (NV) |
Medicare Participation & PECOS Enrollment Status
Gianna Russo-mitma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-26-2024
Opt-Out End Date: 03-26-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MRS. GIANNA NICOLE RUSSO-MITMA M.S., LMFT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 5 | 8 | 9 | 0 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 8 | 18 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 8 + 1 + 8 + 0 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1639589096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306574728 | KIMBERLY NICOLE BROOKINS LCSW Individual | Social Worker (Clinical) | 2355 STATE ST STE 101 SALEM, OR 97301 (702) 970-8609 |
| 1518695733 | ADULT POSTIVE LIVING Organization | Case Manager/Care Coordinator | 2355 STATE ST STE 101 SALEM, OR 97301 (503) 749-5760 |
| 1124779319 | APEX PSYCHOLOGY, P.C. Organization | Psychologist (Clinical) | 2355 STATE ST STE 101 SALEM, OR 97301 (503) 470-7097 |
| 1558795948 | LARISSA ANNE BOYD LCSW Individual | Social Worker (Clinical) | 2355 STATE ST STE 101 SALEM, OR 97301 (971) 268-6590 |
| 1780308486 | GARNATZ GOODIN LLC Organization | Physical Therapist | 2355 STATE ST STE 101 SALEM, OR 97301 (541) 246-9867 |
| 1912368614 | DR. LAURA KRUMINS PSY.D. Individual | Psychologist (Clinical) | 2355 STATE ST STE 101 SALEM, OR 97301 (503) 470-7097 |
| 1114644812 | DENISE A LUCAS LPC Organization | Counselor (Professional) | 2355 STATE ST STE 101 SALEM, OR 97301 (503) 782-9950 |
| 1144945296 | DAMION JOHNSON Individual | Case Manager/Care Coordinator | 2355 STATE ST STE 101 SALEM, OR 97301 (503) 749-5760 |
| 1619243946 | REBECCA ELIZABETH SHALA LMHC, LPC Individual | Counselor (Mental Health) | 2355 STATE ST STE 101 SALEM, OR 97301 (971) 563-9142 |
| 1861117202 | FIGS FROM THISTLES COUNSELING, LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 2355 STATE ST STE 101 SALEM, OR 97301 (971) 563-9142 |
| 1366152704 | MS. CYNTHIA LAMBERT LCSW Individual | Social Worker (Clinical) | 2355 STATE ST STE 101 SALEM, OR 97301 (503) 358-4330 |
| 1063702793 | LORINDA LEE SANDERS LCSW Individual | Social Worker (Clinical) | 2355 STATE ST STE 101 SALEM, OR 97301 (208) 550-0834 |
| 1922665751 | KIRA E BRODIE LMHC Individual | Counselor (Mental Health) | 2355 STATE ST STE 101 SALEM, OR 97301 (206) 954-6386 |
| 1013614197 | JITTRA DUNN LMT Individual | Massage Therapist | 2355 STATE ST STE 101 SALEM, OR 97301 (971) 236-2001 |
| 1083188023 | DENISE ANN LUCAS Individual | Counselor (Professional) | 2355 STATE ST STE 101 SALEM, OR 97301 (503) 782-9950 |
| 1114301934 | JUNYEON PAUL KIM LCSW/QMHP Individual | Social Worker (Clinical) | 2355 STATE ST STE 101 SALEM, OR 97301 (803) 360-7783 |
| 1164121794 | ABIGAIL HEFER MORALES Individual | Social Worker (Clinical) | 2355 STATE ST STE 101 SALEM, OR 97301 (507) 301-2162 |
| 1184336893 | DANYELLE RIDLEY SIMMONS RN, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2355 STATE ST STE 101 SALEM, OR 97301 (910) 709-4393 |
| 1245927060 | TOGETHER COUNSELING Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 2355 STATE ST STE 101 SALEM, OR 97301 (503) 217-4201 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639589096, enumerated in the NPI registry as an "individual" on May 06, 2014
The provider is located at 2355 State St Ste 101 Salem, Or 97301 and the phone number is (702) 706-1811
The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on March 26, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until March 26, 2026.
This NPI record was last updated on May 06, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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