Active NPI
Katrina Russhette Rushing, MMHC, LPC (US)
- Professional Counselor
- Oklahoma City, OK
National Provider Identifier
1114214533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200385520A | Medicaid | OK |
Other names 1
- Mrs. Katrina Russhette Hollins
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Life Communication Training, LLC | Professional | Current | 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.
-
- Professional Counselor
- Oklahoma City, OK
- NPI 1568054690
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.