David R Rupp, MA, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301173 Issued in MN

Practice address

305 9TH St
Windom, MN 56101-0443

Phone

(507) 831-4699

Fax

(507) 831-4755

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rainbow Behavioral Health Services Chartered

  • Psychologist
  • Windom, MN
  • NPI 1770664997
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033290267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 9TH ST",
            "address_2": "P O BOX 443",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561010443",
            "telephone_number": "507-831-4699",
            "fax_number": "507-831-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 9TH ST",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561010443",
            "telephone_number": "507-831-4699",
            "fax_number": "507-831-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MA, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ike Pohlman
• Danelle Porter
• Rainbow Behavioral Health Services Chartered
• Joel Riordan, PT, DPT
• Brandi Rossow, PTA
• Rural Health Care, Inc (Access Health - Windom)
• Joshua Michial Sammons, P.T.
• Allison Grace Sandbeck
• Sanford Clinic (Sanford Health Windom Clinic Windom Area Health Campus)
• Sanford Health Network (Sanford Clinic Windom)

• Addiction (Substance Use Disorder) Counselor in Windom, MN
• Providers in Windom, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.