Individual provider Active NPI

Katrina Russhette Rushing, MMHC, LPC (US)

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1114214533
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
312 NE 28TH St Ste 109a
Oklahoma City, OK 73105-2822
Phone
(405) 276-2496
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X OK
Professional Counselor 101YP2500X OK Primary

Addresses

Primary practice location

312 NE 28TH St Ste 109a
Oklahoma City, OK 73105-2822

Mailing address

312 NE 28TH St
Oklahoma City, OK 73105-2821
Phone (405) 276-2496

Other practice location 1

308 Skylark Ct
Norman, OK 73069-8647
Phone (405) 503-1043

Other identifiers 1

IdentifierTypeStateIssuer
200385520AMedicaidOK

Other names 1

  • Mrs. Katrina Russhette Hollins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Real Life Communication Training, LLC Professional CurrentSince Feb 14, 2021 Accepting new patients

Locations

312 NE 28th St
Ste 109A
Oklahoma City, OK 73105
Phone (405) 276-2496

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114214533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NE 28TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052821",
            "telephone_number": "405-276-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 NE 28TH ST STE 109A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731052822",
            "telephone_number": "405-276-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Skylark Ct",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730698647",
            "country_code": "US",
            "telephone_number": "405-503-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "KATRINA",
        "middle_name": "RUSSHETTE",
        "name_prefix": "Mrs.",
        "credential": "MMHC, LPC (US)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200385520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "HOLLINS",
            "middle_name": "RUSSHETTE",
            "prefix": "MRS.",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.